Professional Education and Training Programs of the Army Medical Department

Size: px
Start display at page:

Download "Professional Education and Training Programs of the Army Medical Department"

Transcription

1 Army Regulation Schools Professional Education and Training Programs of the Army Medical Department Headquarters Department of the Army Washington, DC 15 October 2007 UNCLASSIFIED

2 SUMMARY of CHANGE AR Professional Education and Training Programs of the Army Medical Department This major revision, dated 15 October o Revises the active duty Service obligation for long-term health education and training, training with industry, graduate professional education, and health care incentive programs (paras 2-6, 2-7, 2-8, and 2-9). o Revises the amounts authorized and payment procedures for students in a professional training program (para 3-5). o Changes the eligibility criteria for training in civilian institutions (para 4-3). o Revises the application, selection, and enrollment for Corps-specific programs (para 4-4). o Revises administrative procedures (para 4-6). o Changes military professional training (para 4-9). o Revises Dental Corps general administration (para 5-1). o Changes the Army Dental Corps policies on education and training (para 5-2). o Revises the Dental Corps eligibility for graduate level training (para 5-3). o Revises the Dental Corps selection of students for training (para 5-4). o Revises the Dental Corps residency programs for both military and civil residencies (para 5-7). o Revises the Medical Corps policies pertaining to education and training (para 6-2). o Changes the Medical Corps allocation of training spaces (para 6-4). o Revises the Medical Corps applications, appointments, advancements, service agreements, and selections of applicants for training (para 6-5). o Revises the Medical Corps due process for students in graduate medical education (para 6-6). o Prescribes new Medical Corps resident supervision and duty hours of students in graduate medical education (para 6-7).

3 o Prescribes new Medical Corps military unique curriculum for Army medical treatment facility engaged in graduate medical education (para 6-8). o Prescribes new Medical Corps institutional requirements for graduate medical education training programs (para 6-9). o Prescribes new Army Medical Corps procedure for establishing new training programs (para 6-13). o Revises the Medical Corps accreditation procedure for graduate medical education programs (para 6-14). o Changes the Medical Corps program change procedures for graduate medical education programs (para 6-15). o Revises the Medical Corps Institutional Director of Medical Education responsibilities (para 6-16). o Revises the Medical Corps Institutional Graduate Medical Education Committee responsibilities (para 6-17). o Changes the Medical Corps institutional agreement requirements for graduate medical education programs (para 6-18). o Revises the Medical Corps records, clinical statistics, and medical audits requirements for graduate medical education programs (para 6-19). o Revises the Medical Corps requirements and authorization for the distribution of certificates upon completion of a graduate medical education program (para 6-20). o Changes the Medical Corps procedure of processing absences from a graduate medical education training program (para 6-21). o Revises the Medical Corps plans of instruction and the responsibilities of the program director (para 6-22). o Changes the Medical Corps attendance of professional meetings or courses and command authority (para 6-24). o Prescribes new Medical Corps evaluation and trainee file procedure for graduate medical education programs (para 6-25). o Prescribes new continuing medical education for Medical Corps officers, introduction to guidance, administering, and operating a continuing medical education program (para 6-27). o Revises the Medical Corps responsibilities for commanders and students (para 6-28).

4 o Revises the Medical Corps policy and procedures on program selection and approval (para 6-30). o Changes the Medical Corps continuing medical education opportunity for award recipient s procedure (para 6-38). o Revises the Medical Service Corps policies on education and training programs (para 7-2). o Revises the Army Nurse Corps policies on professional military education (para 8-2). o Revises the long-term health education and training policy for selection for attendance to an Army Nurse Corps graduate education program (para 8-6). o Changes the continuing health education details for the Army Nurse Corps the guidance for administration and operation of the Army Nurse Corps Continuing Health Education Program (para 8-8). o Revises the Army Medical Specialist Corps entry-level professional education policies on precedence of programs (para 9-4). o Revises the Army Medical Specialist Corps guidance policy for long-term health education and training (para 9-6). o Changes the Army Medical Specialist Corps procedure on the administration of specialty training (para 9-7). o Revises the Veterinary Corps long-term health education and training programs (para 10-5). o Revises the Veterinary Corps funding policy for long-term health education and training and professional/military training (para 10-9). o Revises the Veterinary Corps and student s responsibilities for continuing health educations for required licensure and accreditation (para 10-12). o Changes the Enlisted Personnel Professional Postgraduate Short Course Program policy on objectives, attendance, and funding (para 11-2). o Revises the active duty Service obligations for U.S. Army Medical Department enlisted personnel in Army Enlisted Commissioning Program (para 11-4). o Revises the Chaplain Corps pastoral education programs policies (para 12-1). o Revises the policies and procedure for medical training for the reserve and guard components (para 13-1). o Changes the authorization policies for reimbursement for professional boards and certification of U.S. Army Medical Department personnel (para 14-5). o Revises the affiliation policies on responsibilities and approving authorities for affiliation agreements of non-federal educational institutions (para 15-2).

5 o Revises the agreement policies on publications of material related to a graduate program (chap 16). o Revises the validated requirement program policies and procedure (para 17-1). o Changes the responsible agencies for validated requirements of validation program (para 17-4).

6

7 Headquarters Department of the Army Washington, DC 15 October 2007 *Army Regulation Effective 15 November 2007 Schools Professional Education and Training Programs of the Army Medical Department H i s t o r y. T h i s p u b l i c a t i o n i s a m a j o r revision. Summary. This regulation sets policies a n d p r o c e d u r e s f o r i n t e r n s h i p s, r e s i d e n - cies, and fellowships. It sets policy and procedures for affiliation of non-federal educational institutions with Army medical facilities. It sets forth the applicable s t a n d a r d s a n d d i s c u s s e s t h e C o n t i n u i n g H e a l t h E d u c a t i o n P r o g r a m s a n d p r o f e s - sional specialty recognition of Army Medical Department personnel. It also defines t h e P r o f e s s i o n a l P o s t g r a d u a t e S h o r t Course Program and sets policies and procedures for that program. Applicability. This regulation applies to t h e A c t i v e A r m y, t h e A r m y N a t i o n a l Guard/Army National Guard of the United States, and the U.S. Army Reserve, unless otherwise stated. Proponent and exception authority. The proponent of this regulation is The Surgeon General. The proponent has the a u t h o r i t y t o a p p r o v e e x c e p t i o n s t o t h i s regulation that are consistent with controlling law and regulations. The proponent may delegate the approval authority, in writing, to a division chief within the proponent agency or its direct reporting unit or field operating agency, in the grade of colonel or the civilian equivalent. Activities may request a waiver to this regulat i o n b y p r o v i d i n g j u s t i f i c a t i o n t h a t includes a full analysis of the expected benefits and must include formal review by the activity s senior legal officer. All waiver requests will be endorsed by the commander or senior leader of the reque s t i n g a c t i v i t y a n d f o r w a r d e d t h r o u g h t h e i r h i g h e r h e a d q u a r t e r s t o t h e p o l i c y proponent. Refer to AR for specific guidance. Army management control process. This regulation contains management control provisions and identifies key management controls that must be evaluated (see appendix C). S u p p l e m e n t a t i o n. S u p p l e m e n t a t i o n o f this regulation and establishment of command and local forms are prohibited witho u t p r i o r a p p r o v a l f r o m T h e S u r g e o n General, ATTN: DASG-HR, 5109 Leesburg Pike, Falls Church, VA Suggested improvements. Users are invited to send comments and suggested improvements on DA Form 2028 (Recomm e n d e d C h a n g e s t o P u b l i c a t i o n s a n d Blank Forms) directly to Department of H e a l t h E d u c a t i o n a n d T r a i n i n g, A T T N : M C C S H E, G r e e l e y R o a d, S u i t e 201, Fort Sam Houston, TX C o m m i t t e e C o n t i n u a n c e A p p r o v a l. The Department of the Army Committee Management Officer concurs in the establishment and/or continuance of the comm i t t e e ( s ) o u t l i n e d h e r e i n, i n a c c o r d a n c e with AR 15 1, Committee Management. AR 15 1 requires the proponent to justify e s t a b l i s h i n g / c o n t i n u i n g i t s c o m m i t t e e ( s ), coordinate draft publications, and coordinate changes in committee status with the Department of the Army Committee Management Office, ATTN: SAAA RP, Off i c e o f t h e A d m i n i s t r a t i v e A s s i s t a n t, R e s o u r c e s a n d P r o g r a m s A g e n c y, Jefferson Davis Highway, Taylor Buildi n g, 1 3 t h F l o o r, A r l i n g t o n, V A Further, if it is determined t h a t a n e s t a b l i s h e d " g r o u p " i d e n t i f i e d within this regulation later takes on the characteristics of a committee, the proponent will follow all AR 15 1 requirements for establishing and continuing the group as a commit. Distribution. This publication is available in electronic media only and is intended for command levels A and B for t h e A c t i v e A r m y, t h e A r m y N a t i o n a l Guard/Army National Guard of the United States, and the U.S. Army Reserve. *This regulation supersedes AR 351 3, dated 8 February 1988 and rescinds DA Form 2214 R, dated December 1973 and DA Form 5127, dated August AR October 2007 i UNCLASSIFIED

8 Contents (Listed by paragraph and page number) Chapter 1 General, page 1 Purpose 1 1, page 1 References 1 2, page 1 Explanation of abbreviations and terms 1 3, page 1 Responsibilities 1 4, page 1 Educational goals 1 5, page 1 Chapter 2 Overall Guidance for Army Medical Department Education and Training, page 2 Section I General, page 2 Training in civilian (non-federal) institutions 2 1, page 2 Training in Federal facilities 2 2, page 2 Quotas 2 3, page 2 Army Weight Control Program 2 4, page 2 Foreign national participation 2 5, page 2 Section II Active Duty Service Obligation, page 2 Introduction 2 6, page 2 Minimum terms of Service and active duty Service obligations for health professions officers 2 7, page 3 Active duty Service obligations for health care incentive programs 2 8, page 4 Modifying active duty Service obligations 2 9, page 4 Chapter 3 Professional Training of Army Medical Personnel, page 5 Section I General, page 5 Scope 3 1, page 5 Corps-specific education and training policies 3 2, page 5 Funding and orders 3 3, page 5 Section II Reimbursement of Training Expenses, page 5 Introduction 3 4, page 5 Amounts authorized and payment procedures 3 5, page 5 Funding authorities and procedures for continuing health education 3 6, page 6 Chapter 4 Programs of Formal Education and Training, page 8 Section I Training in Civilian (Non-Federal) Institutions, page 8 Introduction 4 1, page 8 Definitions and programs 4 2, page 8 Eligibility criteria 4 3, page 8 Application, selection, and enrollment procedures 4 4, page 9 Orders and assignments 4 5, page 9 Administrative procedures 4 6, page 10 ii AR October 2007

9 Contents Continued Gratuitous agreements 4 7, page 11 Section II Training in Federal Facilities, page 12 Introduction 4 8, page 12 Military training 4 9, page 12 Graduate-level schooling 4 10, page 12 Section III Professional Postgraduate Short Course Program, page 13 Definition 4 11, page 13 General 4 12, page 13 Course listing 4 13, page 13 Attendance 4 14, page 13 Application 4 15, page 13 Chapter 5 Policy and Dental Corps Policy and Programs, page 13 Section I General Administration, page 13 General 5 1, page 13 Policies 5 2, page 13 Eligibility 5 3, page 14 Selection 5 4, page 14 Withdrawal, probation, termination, and extension 5 5, page 14 Section II Educational Programs, page 17 Advanced general dentistry 1 year 5 6, page 17 Dental residency programs 5 7, page 17 Dental Fellowship Program 5 8, page 17 Degree-producing programs 5 9, page 17 Section III Administration of Educational Programs, page 17 Responsibility for programs 5 10, page 17 Administrative points of contact 5 11, page 17 Director of Dental Education 5 12, page 17 Dental Education Committee 5 13, page 17 Requirements for dental activities conducting residency programs 5 14, page 18 Dental Resident Evaluation Report 5 15, page 19 Section IV Continuing Health Education Details for the U.S. Army Dental Corps, page 19 General 5 16, page 19 Dental Corps responsibilities 5 17, page 19 Policy and procedures 5 18, page 19 Professional Postgraduate Short Course Program 5 19, page 20 Chapter 6 Medical Corps Policy and Programs, page 21 Section I Introduction, page 21 General 6 1, page 21 AR October 2007 iii

10 Contents Continued Policies 6 2, page 21 Types of training 6 3, page 21 Training spaces 6 4, page 22 Applications, appointments, advancements, service agreements, and selections 6 5, page 22 Due process 6 6, page 23 Resident supervision and duty hours 6 7, page 23 Military unique curriculum 6 8, page 24 Institutional requirements 6 9, page 24 Applicable publications 6 10, page 24 Location of programs 6 11, page 24 Section II Administration, page 25 Correspondence 6 12, page 25 New programs 6 13, page 25 Accreditation 6 14, page 25 Program change 6 15, page 25 Responsibilities of medical education 6 16, page 25 Institutional Graduate Medical Education Committee 6 17, page 25 Institutional agreement 6 18, page 25 Records, clinical statistics, and medical audits 6 19, page 26 Certificates 6 20, page 26 Absence from training 6 21, page 26 Plans of instruction 6 22, page 26 Visiting Professorship Program 6 23, page 26 Professional meetings or courses 6 24, page 26 Section III Forms, page 26 Evaluation and trainee file 6 25, page 26 Use of DA Form , page 27 Section IV Continuing Medical Education for Medical Corps Officers, page 27 Introduction 6 27, page 27 Medical Corps responsibilities 6 28, page 28 Criteria 6 29, page 28 Policy and procedures 6 30, page 28 Section V The Surgeon General s Physician Recognition Award, page 28 Introduction 6 31, page 28 Scope and applicability 6 32, page 28 Eligibility for awards 6 33, page 28 Number and timing of awards 6 34, page 29 Responsibilities for The Surgeon General s Physician Recognition Award 6 35, page 29 Nomination procedures 6 36, page 29 Selection procedures 6 37, page 29 Continuing medical education opportunity for award recipients 6 38, page 29 Command and installation awards 6 39, page 29 Section VI The Surgeon General s Award for Military Academic Excellence (The Lewis Aspey Mologne Award), page 29 Introduction 6 40, page 29 Scope and applicability 6 41, page 29 iv AR October 2007

11 Contents Continued Eligibility for award 6 42, page 30 Number and timing of awards 6 43, page 30 Responsibilities for award 6 44, page 30 Nomination procedures 6 45, page 30 Selection procedures 6 46, page 32 Continuing medical education training available for the award recipient 6 47, page 32 Chapter 7 Medical Service Corps Policy and Programs, page 32 Section I General, page 32 Introduction 7 1, page 32 Policies 7 2, page 32 Section II Training Programs, page 33 Short-course education and training 7 3, page 33 Long-term health education and training 7 4, page 33 New programs 7 5, page 35 Section III Continuing Health Education Programs, page 35 Continuing health education details for the Medical Service Corps general 7 6, page 35 Professional organizations 7 7, page 35 Chapter 8 Army Nurse Corps Policy and Programs, page 37 Section I General, page 37 Introduction 8 1, page 37 Policies 8 2, page 37 Educational opportunities 8 3, page 37 Short-course education and training 8 4, page 38 Army Nurse Corps specialized nursing courses 8 5, page 38 Long-term health education and training 8 6, page 38 Application procedures 8 7, page 39 Section II Continuing Health Education Details for the Army Nurse Corps, page 39 General 8 8, page 39 Army Nurse Corps Continuing Education Program responsibilities 8 9, page 40 Army Nurse Corps Continuing Health Education Program policy and procedures 8 10, page 40 Army Nurse Corps Continuing Health Education Program Review Board 8 11, page 40 Army Nurse Corps Continuing Health Education Program Appeal Board 8 12, page 40 Reports 8 13, page 41 Chapter 9 Army Medical Specialist Corps Policy and Programs, page 41 Section I Introduction, page 41 General 9 1, page 41 Policies 9 2, page 41 AR October 2007 v

12 Contents Continued Military training 9 3, page 41 Section II Training Programs, page 41 Entry-level professional education 9 4, page 41 U.S. Army-Baylor University Graduate Program in health care administration 9 5, page 42 Long-term health education and training 9 6, page 43 Specialty training 9 7, page 43 Section III Continuing Health or Medical Education for Specialists Corps Officers, page 45 Introduction 9 8, page 45 Professional Postgraduate Short Course training 9 9, page 45 Section IV The Surgeon General s Physician Assistant Recognition Award Program, page 46 Introduction 9 10, page 46 Policy 9 11, page 46 Chapter 10 Veterinary Corps Policy and Programs, page 46 Section I Training Programs, page 46 Introduction 10 1, page 46 Policies 10 2, page 47 Military training for commissioned officers 10 3, page 47 The Military Veterinary Corps Food Safety Officer Training Program 10 4, page 47 Long-term health education and training 10 5, page 47 Professional Postgraduate Short Course training 10 6, page 48 Training with industry 10 7, page 48 Application procedures 10 8, page 48 Funding 10 9, page 48 Withdrawals and probation 10 10, page 48 Section II Continuing Health Education Details for the Veterinary Corps, page 50 General 10 11, page 50 Veterinary Corps responsibilities 10 12, page 50 Policy and procedures 10 13, page 50 Chapter 11 Army Medical Department Enlisted Personnel Policy and Programs, page 50 Introduction 11 1, page 50 The Enlisted Army Medical Department Professional Postgraduate Short Course Program 11 2, page 51 United States Army Medical Department Enlisted Commissioning Program 11 3, page 51 Active duty Service obligations for United States Army Medical Department enlisted personnel in the Army Medical Department Enlisted Commissioning Program 11 4, page 51 Chapter 12 Chaplain Corps Policy and Programs, page 51 Section I Clinical Pastoral Education, page 51 Introduction 12 1, page 51 Responsibility for clinical pastoral education 12 2, page 51 vi AR October 2007

13 Contents Continued Eligibility 12 3, page 51 Selection and application process 12 4, page 52 Active duty Service obligation 12 5, page 52 Section II Professional Postgraduate Short Course Program, page 52 Introduction 12 6, page 52 Application process 12 7, page 52 Chapter 13 Medical Training in the Reserve Components, page 52 Introduction 13 1, page 52 Guidance 13 2, page 52 Training objectives 13 3, page 52 Training programs 13 4, page 53 Mandatory training activities 13 5, page 55 Training reports 13 6, page 55 Chapter 14 Professional Boards and Certification of United States Army Medical Department Personnel, page 55 Section I United States Army Medical Department Officers and Warrant Officers, page 55 General 14 1, page 55 Eligibility 14 2, page 56 Authorized payments 14 3, page 56 Officers and warrant officers stationed overseas 14 4, page 56 Authorization and reimbursement for personal expenditures 14 5, page 57 Payment of fees 14 6, page 57 Section II United States Army Medical Department Enlisted Personnel, page 57 General 14 7, page 57 Eligibility 14 8, page 57 Authorized payments 14 9, page 58 Authorization and reimbursement for personal expenditure 14 10, page 58 Payment of fees 14 11, page 58 Chapter 15 Affiliation Policy and Procedures, page 58 General 15 1, page 58 Responsibilities 15 2, page 59 Training programs 15 3, page 59 Program cost 15 4, page 59 Quality assurance 15 5, page 59 Personnel accountability 15 6, page 59 Chapter 16 Agreements, page 59 Affiliation agreements 16 1, page 59 Appointment of trainees 16 2, page 68 Equal opportunity 16 3, page 68 Medical care of trainees 16 4, page 68 Program support 16 5, page 68 Clearance of publications 16 6, page 69 AR October 2007 vii

14 Contents Continued Chapter 17 Validated Requirement Program, page 69 Introduction 17 1, page 69 Authorization and review 17 2, page 69 Evaluation criteria 17 3, page 70 Responsible agencies 17 4, page 70 Initial utilization 17 5, page 70 Deletions 17 6, page 70 Training requirements 17 7, page 71 Appendixes A. References, page 72 B. Accrediting Organizations for Medical Service Corps Officers, page 78 C. Management Control Evaluation Checklist, page 80 Table List Table 3 1: Continuing health education funding authorities for active U.S. Army Medical Department personnel, page 6 Table 4 1: Academic workload for military students, page 11 Table 14 1: Overseas part I (written) examination authorities, page 56 Figure List Figure 2 1: Reimbursement formula for failure to complete active duty Service obligation, page 4 Figure 6 1: Format for a nomination for The Surgeon General award memorandum, page 31 Figure 16 1: Sample format for an affiliation agreement, page 61 Figure 16 1: Sample format for an affiliation agreement Continued, page 62 Figure 16 1: Sample format for an affiliation agreement Continued, page 63 Figure 16 1: Sample format for an affiliation agreement Continued, page 64 Figure 16 1: Sample format for an affiliation agreement Continued, page 65 Figure 16 1: Sample format for an affiliation agreement Continued, page 66 Figure 16 1: Sample format for an affiliation agreement Continued, page 67 Figure 16 1: Sample format for an affiliation agreement Continued, page 68 Glossary viii AR October 2007

15 Chapter 1 General 1 1. Purpose This regulation establishes policy procedures for advanced education obtained at Federal and non-federal institutions. It sets forth standards and requirements for the following non-exclusive subject areas: a. Formal education and training of U.S. Army Medical Department (AMEDD) personnel. b. Continuing health education (CHE) programs and professional specialty recognition of AMEDD personnel. c. Affiliation of non-federal educational institutions with Army medical facilities. d. Professional Short Course Program (PPSCP) e. Other unnumbered, non-area of concentration (AOC)/additional skill identifier (ASI) producing programs References Required and related publications and prescribed and referenced forms are listed in appendix A Explanation of abbreviations and terms Abbreviations and special terms used in this regulation are defined in the glossary Responsibilities a. The Surgeon General (TSG)/Commander, U.S. Army Medical Command (MEDCOM) will (1) Develop policies and exercise staff responsibility for health education and training programs of the Army. (2) Exercise overall supervision of clinical and technical training of AMEDD personnel. (3) Control quotas and select AMEDD officers, warrant officers (WOs), and enlisted (EN) personnel to attend designated schools and courses. (4) Develop other general training requirements for AMEDD personnel. (5) Direct, control, and supervise programs for training foreign nationals in AMEDD schools and facilities. (6) Establish AMEDD CHE policy. (7) Determine the criteria and guidelines for developing and conducting CHE programs at the local level. (8) Exercise overall supervision of training affiliation programs in Army medical facilities. b. Commander, Army Medical Department Center & School (AMEDDC&S) will (1) Develop educational requirements and the courses, devices, literature, and other materials needed to support these requirements. (2) Provide training and education in health care sciences to AMEDD officers and EN personnel, members of other services, and authorized foreign nationals. (3) Provide worldwide evaluation of the effectiveness of AMEDDC&S training and education programs and AMEDDC&S developed supporting materials. ( 4 ) P r o v i d e a d m i n i s t r a t i v e s u p p o r t f o r A M E D D p e r s o n n e l a s s i g n e d t o t h e A M E D D S t u d e n t D e t a c h m e n t, AMEDDC&S. (5) Support the training initiatives of TSG and AMEDD Corps chiefs. c. Commanders at all levels will maintain active supervision of educational programs for assigned and attached AMEDD personnel Educational goals Educational goals of the AMEDD are to a. Provide the validated professional and administrative personnel to meet requirements of the AMEDD and the Army. b. Provide AMEDD personnel with (1) Opportunities for consistent and progressive professional education and training. (2) Opportunities for professional development that aid career progression. (3) Education and training in an orderly, logical, planned, and systematic manner under direction and guidance of qualified instructors. (4) Educational opportunities in support of the overall AMEDD mission. AR October

16 Chapter 2 Overall Guidance for Army Medical Department Education and Training Section I General 2 1. Training in civilian (non-federal) institutions Training of AMEDD personnel in civilian (non-federal) institutions is designed to augment educational experiences conducted in AMEDD military treatment facilities (MTFs) and other Federal training institutions and to meet established validated requirements, procurement standards, and/or a recognized requirement for which training is not readily available at a Federal facility. Applications for schooling will be approved contingent on requirements for training, individuals qualifications, and availability of funds Training in Federal facilities Information pertaining to training of AMEDD personnel in Federal facilities is as follows: a. Applications for schooling will be approved contingent on requirements for training, individual qualifications, and availability of funds. b. Scope and prerequisites for training in U.S. Army facilities are in DA Pam The scope and prerequisites for training in other Federal facilities are listed in training publications of the U.S. Public Health Service, the Office of Personnel Management (OPM), the Uniformed Services University of the Health Sciences (USUHS), the U.S. Navy, and the U.S. Air Force. When special application forms are specified for other than AMEDD courses, these forms should be completed and submitted according to paragraph 4 4. c. Military commands are authorized to communicate directly with the sponsoring agency or course sponsor concerning detailed information about scope and content of a specific course. d. Officers will apply for attendance to the AMEDD Captains Career Course (CCC). Selections for attendance at the Military Education Level (MEL) 4 Equivalent Course, and Senior Service College (SSC) are made at Department of the Army (DA) level after considering all eligible officers Quotas a. Officer and EN quotas for AMEDD training in Army schools, other Federal agencies, and other institutions are obtained and monitored by Department of Health Education and Training (DHET), AMEDDC&S, based on availability of funds. b. N o n - f u n d e d q u o t a s f o r a t t e n d a n c e a t A M E D D - s p o n s o r e d P r o f e s s i o n a l P o s t g r a d u a t e S h o r t C o u r s e P r o g r a m (PPSCP) courses by the U.S. Army Reserve (USAR), the Army National Guard (ARNG)/Army National Guard of the United States (ARNGUS) officers and EN personnel (active duty for training (ADT) only), and other non-army attendees are distributed by DHET Army Weight Control Program All Army personnel selected for training under this regulation must comply with AR as appropriate. Assignment instructions will include a statement that the Soldier must comply with standards in AR Foreign national participation The participation of foreign nationals in professional education and training programs of the AMEDD is governed by the Arms Export Control Act, as amended; The Foreign Assistance Act of 1961, as amended; and AR 12 15/ NAVINST /AFR All requests for foreign national participation in professional educational and training programs are to be forwarded to Headquarters, Department of the Army, ATTN: DASG HCZ IP, 5109 Leesburg Pike, Falls Church, VA Section II Active Duty Service Obligation 2 6. Introduction a. Active duty Service obligations (ADSOs) are governed by DODI This regulation is not intended to supersede or DODI There are two basic purposes for ADSOs. ADSOs help the Army effectively manage its resources by maintaining an experienced, well-qualified officer Corps. ADSOs incurred because of promotion to certain grades, permanent change of station (PCS), or by acceptance of career status are designed to enhance stability in the officer force. b. This section prescribes policies governing ADSOs incurred for participation in long-term health and health-related education and training programs. The following terms apply to policies described in this chapter. (1) AMEDD officers. Those officers and WOs serving in the Army Nurse Corps (AN), Dental Corps (DC), Medical 2 AR October 2007

17 Corps (MC), Army Medical Service Corps (MS), Specialist Corps (SP), Veterinary Corps (VC), and those members in Department of Defense (DOD) programs leading to or requiring commissioning in any of the above Corps. (2) First-term personnel. Except as noted in DODI , all health professions officers, from subsidized or nonsubsidized procurement programs, who are either entering active duty (AD) for the first time or are entering AD after legally having served all prior military Service relationships. Members of the Selected Reserve (SELRES), the Individual Ready Reserve (IRR), the Stand-By Reserve, and the Retired Reserve who enter or reenter AD are excluded from the first-term personnel Category. Non-subsidized members include those who enter AD by direct appointment, reentry (recall), and deferred commissioning programs. (3) Graduate professional education (GPE). GPE includes internships, residencies, and fellowships in their respective professional fields for all AMEDD officers. ADSOs for GPE will be in accordance with DODI (4) Long-term health education and training (LTHET). Full-time, DOD-subsidized (military-sponsored) health or health-related education or training in a military or civilian facility of 26 weeks or more including education or training received in preparation for commissioning as a health professions officer (for example, medical school) and subsequent commissioning (for example, GPE) Minimum terms of Service and active duty Service obligations for health professions officers a. The minimum term of Service (MTS) for first-term personnel will be two years following internship for physicians and three years for other health professions officers. The minimum term is not additive to ADSOs incurred for education and training. Prior AD and internship or any other initial qualifying training program may not count toward fulfilling the MTS. ADSOs will be assigned in accordance with DODI b. No portion of an ADSO may be satisfied as follows: (1) By prior military Service. (2) During any period of LTHET. (3) Concurrently with any other ADSO or with an obligation incurred for DOD-subsidized, pre-professional (undergraduate) education or training or prior long-term health or health-related education or training. (4) Except as otherwise provided below, ADSOs are governed by Federal statues, DOD guidance, and terms established by the Secretary of the Army. c. The ADSOs for GPE for physicians, dentists, and veterinarians (includes only residencies and fellowships) will be as prescribed by current DOD guidance and applicable contracts. (1) The ADSOs for participation in medical internship programs and Advanced General Dentistry 1 Year Program (AGD 1) will be prescribed by current DOD guidance and applicable contracts. (2) The ADSOs for participation in dental residencies and graduate training programs will be prescribed by current DOD guidance and applicable contracts and applicable contracts. d. The ADSOs for all other LTHET programs will be as follows: (1) Participants of partially-funded, long-term undergraduate (leading to a baccalaureate degree), or partially funded education and training in a civilian institution (participants receive only pay and allowances from the Army) will incur an ADSO as prescribed by current DOD guidance. Participation for periods in excess of two years will result in an ADSO as prescribed by current DOD guidance. (2) Participants of fully-funded, long-term undergraduate (leading to a baccalaureate degree), or fully-funded education or training in a military or civilian institution (participants receive pay and allowances plus tuition and other authorized reimbursable expenses from the Army), will incur an ADSO as prescribed by current DOD guidance. (3) Participants of long-term graduate (leading to a master s or doctoral degree) education and training in a military or civilian institution will incur an ADSO as prescribed by current DOD guidance. (4) For exceptional ADSOs, the ADSO for the Physician Assistant Training Program is 4 years or based on current Army Medical Specialist Corps policy. The ADSO for the 1-year pharmacy residency program is 3 years or as prescribed by current DOD guidance. (5) The ADSO for U.S. Army-Baylor University Graduate Program in Health Care Administration is as prescribed by current DOD guidance. Payback of the ADSO begins after completion of the didactic phase of the training. (6) The ADSOs for training with industry (TWI) are equal to 2 years or 3 times the length of schooling, computed in days, whichever is greater. (7) The ADSOs for military internships are equal to three times the length of schooling, computed in days, whichever is greater. e. Reimbursement is done as follows: (1) Officers must reimburse the Government for costs of advanced education for participation in the fully-funded LTHET program (including LTHET fully-funded residencies and fellowships) if they voluntarily leave the program (including separation as a conscientious objector) or because of misconduct or other reasons, fail to complete the ADSO set forth in this regulation and in their training agreement. The term "fail to complete" means completing a portion or none of the required period of Service on AD. Costs of advanced education include tuition, books, supplies, AR October

18 and other education costs incurred by the Government. They do not include pay, allowances, or travel expenses unless otherwise specified in this regulation, DODI , or law. Interest on reimbursement of advanced education costs may further be assessed under other existing law or in accordance with DOD guidance. The reimbursement amount will be determined under the formula in figure 2 1, below. Figure 2 1. Reimbursement formula for failure to complete active duty Service obligation (2) Participants in the Armed Forces Health Professions Scholarship Program (AFHPSP) and/or Financial Assistance Program (FAP) must reimburse the Government as prescribed by law, current DOD guidance, and the service agreement (SA) if they fail to complete the ADSO incurred for participation in the programs, as determined by the SA Active duty Service obligations for health care incentive programs a. Armed Forces AFHPSP/FAP. Each participant will incur an ADSO or alternative obligation as prescribed by law, current DOD guidance, and the SA, as determined by the SA. b. USUHS. Physician graduates of the USUHS School of Medicine will incur an ADSO of seven years, except as noted below. (1) Graduates who spend less than 4 school years at USUHS will incur an ADSO of 21 months for each year or portion thereof, but in no case will the minimum ADSO be less than 27 months. (2) Graduates who repeat a year or portion of a year for academic or other reasons and are delayed in graduation will incur an additional ADSO of 1/2 year for each additional 1/2 year or portion thereof for such repeated work. (3) A participant who is dropped prior to program completion will incur an ADSO equal to the period of participation or one (1) year, whichever is greater. (4) An alternative obligation may be imposed for participants who fail to complete the ADSO Modifying active duty Service obligations a. Most ADSOs are established by law, DOD policy, and terms established by the Secretary of the Army (and typically promulgated in contract). Additionally, ADSOs are typically based on the terms of a program and are not tailored to fit an individual. Given these factors, requests to change the non-statutory ADSO for a certain program should follow the guidance below. b. Requests to modify the ADSO of a specific program, except AFHPSP/FAP/GME/USHUS, may be made in memorandum form with necessary supporting documentation. All requests must be forwarded through command channels to the appropriate consultant and AMEDD Corps chief. AMEDD education program managers will consolidate requests for modified ADSOs at Academy of Health Sciences, Department of Health Education and Training (DHET), 1750 Greeley Road, Suite 201, ATTN: MCCS HE, Fort Sam Houston, TX , for staffing across Corps and AMEDD Personnel Proponent Division (APPD) and then forward the request to the Office of The Surgeon General (OTSG) for final approval. 4 AR October 2007

19 Chapter 3 Professional Training of Army Medical Personnel Section I General 3 1. Scope a. This section prescribes the responsibilities, policies, procedures, and prerequisites governing the professional development and qualification of AMEDD personnel through the following: (1) Programs of formal education and training at Army medical treatment facilities. (2) Non-AMEDD Army schools. (3) Federal facilities. (4) Civilian educational institutions, industries, or organizations. (5) Continuing health education programs designed to maintain and enhance professional competencies through continued learning and professional specialty recognition programs. b. This education and training is authorized by Title 10 United States Code, Section 4301 (10 USC 4301) Corps-specific education and training policies Corps-specific education and training policies are listed in the following chapters: a. For Dental Corps (DC), see chapter 5. b. For Medical Corps (MC), see chapter 6. c. For Medical Service Corps (MS), see chapter 7. d. For Army Nurse Corps (AN), see chapter 8. e. For Army Medical Specialist Corps (SP), see chapter 9. f. For Veterinary Corps (VC) see chapter 10. g. For Enlisted Corps (EN), see chapter 11. h. For Chaplain Corps (CH), see chapter Funding and orders a. Funding for necessary tuition for fully-funded LTHET will be provided by Academy of Health Sciences, DHET, ATTN: MCCS HEC, 1750 Greeley Road, Suite 201, Fort Sam Houston, TX Health Services Division (for officer personnel) and Health Services Branch (for EN personnel), U.S. Army Human Resources Command (AHRC) will issue assignment instructions assigning officer and EN personnel to and from student status. b. Funding for selected short course education and training attendees will be provided by Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HEC, Fort Sam Houston, TX Temporary duty (TDY) orders will be prepared by the unit to which the attendee is assigned. c. Funding for educational expenses is the responsibility of the unit to which the AD Soldier is assigned. d. Headquarters, Department of the Army (HQDA) ATTN: DASG PSZ M, 5109 Leesburg Pike, Falls Church, VA 22041, is the approval authority for application of MC officers to attend selected short course activities. The Joint Service Graduate Medical Education Selection Board (JSGMESB) serves as the selection board for all MC LTHET activities. Section II Reimbursement of Training Expenses 3 4. Introduction Active duty AMEDD personnel attending training under this regulation may be authorized payment for costs of specified educational expenses incurred as described in this section. Personnel enrolled in fully-funded, degree producing academic programs are eligible for payments of specific educational expenses. Categories of personnel who are not eligible for payments of educational expenses are those in a. Short-course training. b. Partially-funded training programs in civilian institutions. c. Non-degree producing training programs in civilian or Federal facilities Amounts authorized and payment procedures a. Students enrolled in fully-funded, degree producing programs in civilian institutions will be authorized a single payment per academic year (AY) to defray cost of books and expendable supplies. Reimbursement is also provided for preparation of a master s degree thesis or a doctoral dissertation. The amounts authorized for reimbursements will be according to published fiscal year (FY) policy and procedures. AR October

20 b. An AY is twelve months (or any portion thereof) and begins on the course start date. The annual book reimbursement stipend is payable once the Central Training Program Branch (CTP) of the AMEDDC&S has received the required documentation as described in Chapter 7 of the Handbook for Students found on the student detachment Web site. Chapter 7 of the Handbook for Students also describes which expenses are reimbursable and which ones are non-reimbursable. Procedures for reimbursement for a thesis or dissertation can also be found in chapter 7. Payments will not be paid for students who have been granted a LTHET extension. c. Expenses for students enrolled in the U.S. Army Graduate Program in Anesthesia Nursing (6F 66F), U.S. Army- Baylor University Graduate Program in Physical Therapy (6H 65B), and U.S. Army-Baylor University Graduate Program in Health Care Administration (6H 70A) are paid by the AMEDD Center and School Funding authorities and procedures for continuing health education a. Each person in the AMEDD requiring CHE according to the goals stated in each of the AMEDD Corps specific chapters, as listed in paragraph 3 2, is authorized to attend one funded CHE training experience each FY, subject to availability of funds. Courses conducted by the AMEDD for the primary purpose of CHE, and not included as DA mission essential or DA directed, will be counted against a person s limit of one funded CHE course each year. (DHET identifies these as health professional education courses in an annual message, "Professional Postgraduate Short Course Program (PPSCP).") For education not sponsored and identified by the AMEDD, the funding authority (see table 3 1, below) will determine if the experience is CHE as defined in the glossary. When CHE funding is not available, commanders may authorize permissive TDY under AR at no expense to the Government. Table 3 1 Continuing health education funding authorities for active U.S. Army Medical Department personnel Type of CHE experience AMEDD or other Federal course or conference 1 Other Army course or conference Personnel assigned to is funded by is funded by is funded by 1.MEDCOM units: a. Interns, residents and fellows in GME and GDE programs at Army facilities b. Personnel in long-term civilian training and interns, residents, and fellows in GME or GDE programs at civilian facilities HQ, MEDCOM, further delegated to MEDDAC/DENTAC/ MEDCEN 2 DHET 3 DHET 3 DHET 3 DHET 3,4 Private organization course or conference HQ, MEDCOM, further delegated to MEDDAC/DENTAC/ MEDCEN 2 c.all other AMEDD personnel DHET 3,4 DHET 3,6 HQ, MEDCOM, further delegated to MEDDAC/DENTAC/ MEDCEN and other subordinate elements 7 2.Non-MEDCOM controlled units (for example, DOD, DA, FORSCOM, TRADOC) DHET 3,4 DHET 3 Parent Unit/DHET 5 Notes: 1 The AMEDD and other Federal courses or conferences include AMEDD and tri-service short courses under the PPSCP. Also included are courses or conferences sponsored by other Federal agencies (for example, Armed Forces Institute of Pathology (AFIP)). 2 The DHET may fund a resident or fellow who is a guest speaker or presenting a paper at an AMEDD or tri-service course conducted under the PPSCP. 3 Qualified AD personnel requesting DHET funding for CHE must submit a commander approved DA Form 3838 (Application for Short Course Training) to the appropriate program manager at DHET, 1750 Greeley Road, Suite 201, Building 4011, Fort Sam Houston, Texas DA Form 3838 must arrive at least 60 days before the requested course or conference starting date. 4 Units may fund the attendance of assigned AMEDD personnel at AMEDD and other Federal courses or conferences when central funding from DHET is unavailable. Prior approval from the hosting facility and project officer is required. 5 Parent unit is the primary source of funding; central funding from DHET is subject to availability and other program priorities. 6 Within theater courses are funded by ERMC/ERDC/18 th MEDCOM. 7 Elements of OTSG and field operating agencies (FOAs) responsible for their own assigned personnel. 8 All funding is subject to availability. 6 AR October 2007

21 b. Personnel must ensure competency in their professional practice. Lack of available Army funding for CHE does not relieve personnel from the responsibility for meeting these requirements. c. A copy of certificates of training or other proper documents of professional continuing education (CE) will be maintained at the local level as outlined in the specific Corps chapters (see chaps 5 through 12.) d. The AMEDD personnel attending civilian CHE in a TDY status will (1) Wear their military uniform during the conference or meeting. (2) Visit the AMEDD procurement counselor exhibit areas, when appropriate, during the conference or meeting and provide any technical assistance that may be required. e. The CHE applications for Active Army AMEDD personnel will be submitted on DA Form 3838 (Application for Short Course Training) through local command channels to the proper funding authority as shown in table 3 1, above, and also detailed below. Applications should arrive at the funding authority location no later than 60 days prior to the course or conference starting date. (1) The Commander, MEDCOM, is the funding authority for attendance of AMEDD personnel assigned to Headquarters, MEDCOM, and its subordinate units at CHE programs conducted by (a) The AMEDD and other Federal activities for all interns, residents, and fellows participating in GME or graduate dental education (GDE) programs at Army facilities. (b) Private organizations. (c) The AMEDD facilities under the PPSCP when central funding is unavailable under paragraph 3 6e(3)(e), below, and for all courses sponsored locally or conferences conducted throughout the AMEDD. (2) The DHET is the funding authority for attendance of AMEDD personnel for CHE programs conducted by (a) Private organizations for personnel assigned to commands or activities other than MEDCOM when parent organization funding is unavailable. (b) The AMEDD facilities under the PPSCP except that interns, residents, and fellows participating in GME or GDE programs at Army facilities are funded by their parent organization unless they have been invited to make presentations at the courses. (c) Other Federal activities except interns, residents, and fellows participating in GME or GDE at Army facilities are funded by their parent organizations, with the exception of Army pathology residents who are authorized attendance at the annual AFIP problems in anatomic pathology short course. (d) The AMEDD, Federal, other Army, and private organizations for all AMEDD personnel in LTHET, and all residents and fellows participating in GME or GDE under Army sponsorship at civilian facilities. (e) Other Army organizations for all AMEDD personnel regardless of parent organization. (3) The USAR and ARNGUS funding authorities for their respective personnel. (a) The ARNGUS AMEDD personnel will be funded by the National Guard Bureau (NGB). Funding depends on the availability of these Federal funds at state level. Applications for ARNGUS personnel for attendance at CHE courses will be submitted on DA Form 1058 R (Application for Active Duty for Training, Active Duty for Special Work, Temporary Tour of Active Duty, and Annual Training for Soldiers of The Army National Guard and U.S. Army Reserve) to the Army National Guard of the United States Readiness Center, ATTN: NGB-ART, 111 South Mason Drive, Arlington, VA Applications should arrive not later than 60 days prior to the course or conference starting date. (b) The USAR AMEDD personnel not on AD will be funded by USAR funds. The USAR program provides several modes for USAR personnel to attend an annual CHE experience. (c) Each individual in the USAR AMEDD requiring CHE is encouraged to attend one funded, accredited CHE experience each FY subject to funding availability. (d) Local programs must be used to satisfy most CHE requirements. Unit commanders may authorize attendance at CHE under AR in a regular scheduled training status in lieu of AT funded by the unit, a USAR command, or the continental United States. Army (CONUSA). (e) Centrally sponsored opportunities are announced annually depending on availability of funds. These programs are available to IRR, Individual Mobilization Augmentee (IMA), and Troop Program Unit (TPU) members. Selection of individuals will be made by AHRC, St. Louis. Applications will be submitted on DA Form 1058 R through command channels to Commander, AHRC, St. Louis, ATTN: AHRC HS CHE, 1 Reserve Way, St. Louis, MO Applications should arrive not later than 45 days prior to the course or conference starting date. A copy of the program of study or other appropriate documentation of CHE approval must accompany all requests for ADT. Individuals must meet the standards in AR , chapter 7, to qualify for ADT. AR October

22 Chapter 4 Programs of Formal Education and Training Section I Training in Civilian (Non-Federal) Institutions 4 1. Introduction Individuals who have been selected for LTHET will be permitted to attend courses at accredited civilian (non-federal) educational institutions that offer college credit or accredited degrees, certificates, or diplomas. Soldiers selected for training in civilian (non-federal) institutions incur a service obligation as specified in chapter 2, unless otherwise indicated Definitions and programs a. Long-course instruction. Training of 20 weeks or more, constituting a PCS for the enrollee. b. Short-course instruction. Training of less than 20 weeks, normally attended in a TDY status. c. LTHET. (1) Fully-funded program. Under this program, Soldiers may attend a civilian institution for a period not normally exceeding 24 months at the baccalaureate level, 24 months at the master s level, and 36 months at the doctorate level. Length of training for personnel in programs will vary with the curriculum. Enrollment in programs exceeding these time frames will require prior approval by the Corps program manager. Tuition, fees, and specified expenses will be paid by the Government as authorized by published FY policy and procedures. In addition to receiving all pay and allowances and authorization of a PCS, personnel may receive payment for specified educational expenses as prescribed in chapter 3. Input into this program is determined by positions that have validated standards or requirements for which training is not readily available at a Federal facility. (2) Partially-funded program. Under this program, Soldiers may attend a civilian institution full-time. The Army authorizes full pay and allowances but the Soldier must pay for all educational expenses. This program authorizes Soldiers up to 20 weeks of civilian education on a permissive TDY basis. Schooling of more than 20 weeks to a maximum of 24 months will be on a PCS basis. Input into this program is determined by positions that have validated standards or requirements for which training is not readily available at a Federal facility. (3) Permissive TDY. Requests for permissive TDY to support LTHET requirements in excess of 30 days will be forwarded to the appropriate AMEDD branch within AHRC for approval, in accordance with AR 621 1, paragraph 5 5 and AR (4) Fellowships, scholarships, or grants. Under AR 621 7, eligible officers may apply to their respective Corps education branch for permission to accept fellowships, scholarships, or grants offered by corporations, foundations, funds, or educational institutions. Participation in such programs normally will not exceed two years. Officers incur a service obligation as prescribed by current Army regulations. (5) Extensions of LTHET. Officers entering training will determine the length of the program, to be consistent with paragraph 4 2c(1), above, before applying. Requests for extension must be submitted in letter format from the officer concerned explaining the reason for the required extension. Documentation from an appropriate school official (such as a dean, department head, or program director (PD)) must also be submitted to support the extension and to project when the training will be complete. Payment for extension of training is subject to availability of funds. d. TWI. TWI is designed to provide training and/or skills in industrial procedures and practices not available through existing military or advanced civilian schooling programs. Officers selected to participate in the TWI program receive training for 1 year in the civilian sector and serve in positions that require interaction with the private sector on a routine basis. The skills obtained must be applicable to the officer s immediate follow-on assignment. TWI validated positions are not interchangeable with advanced civilian schooling (ACS) validated positions. Gratuitous Agreements for officers in the TWI program will be prepared in accordance with DODD Agreements will include language approved by the U.S. Department of Justice to ensure protection from liability against Government personnel will be reviewed by the servicing staff judge advocate of the activity preparing the agreement and will be signed by a Contracting Officer. Point of contact for executing TWI Gratuitous Agreements is the U.S. Army Human Resources Command, ATTN: AHRC OPL L, Leader Development Division Eligibility criteria The AMEDD officers who meet the following requirements will be considered for training in civilian (non-federal) institutions: a. Status. At the application suspense date, the applicant must be an officer on the AD status list (ADL). The officer must agree to fulfill the service obligation incurred by acceptance of schooling. b. Time-in-service (TIS). (1) Time-in-service for commissioned officers on entry into civilian schooling is 5 through 13 years, although the 8 AR October 2007

23 time may be extended up to 17 years at the discretion of the Corps. Request for waivers of the TIS requirement may be submitted through command channels to AHRC. (2) The WOs must meet the following criteria. (a) Active Army WOs must enter a civilian school program prior to their 23rd year of AFS. (b) Other-than-Active Army WOs must enter civilian school programs prior to their 17th year AFS. (c) The WOs must be able to fulfill their respective service obligation incurred as a result of schooling prior to any mandatory release date. In the case of Active Army WOs, the mandatory release date is 30 years active warrant commissioned officer service or age 62, whichever comes first. Other-than-Active Army WO have a mandatory release date of 20 years AFS or after the second non-selection to chief WO 3 unless retained for retirement or selectively continued, whichever occurs first. c. Security clearance. Officers must have a SECRET clearance at a minimum unless higher clearance is required. d. Potential. Officers must demonstrate a capacity for advanced education as determined from examination of past academic records and appropriate test results. Officers also must demonstrate potential for advancement in grade. e. Interest. Individuals must express specific interest in such schooling by submitting an application. f. Personnel overseas. A normal overseas tour must be completed before entry into training. Credit for completion of the normal overseas tour may be granted by TSG under AR Foreign service tour extensions will be used to meet school dates. g. Promotion status. Officers in a nonselect status are ineligible to apply. Any officer selected for school, but nonselect for promotion, will be deleted from the school-select list, except for DC. Officers attending LTHET who are nonselect for promotion may be continued in LTHET at the discretion of the chief of the pertinent Corps. DC officers passed over for promotion are ineligible to apply for or start long-term training programs unless a waiver is granted by the Chief, DC Application, selection, and enrollment procedures a. Application. Interested officers must initiate and submit applications in accordance with applicable messages released by each Corps. Normally, applications will include (1) A completed application as designated by the Corps. (2) Applicable examination scores, such as the Graduate Record Exam (GRE) or the Graduate Management Admission Test (GMAT). (3) Letters of recommendation (number to be determined by the appropriate Corps education branch). (4) Official copies of all undergraduate and graduate transcripts. (5) Other Corps-specific application requirements as directed. b. Selection. Selection will be determined by each Corps using a board action or selection board panel. Applications from officers will be evaluated by the Corps education branches for completeness before submission into the Corps selection process. The selection will be guided by Corps-specific, validated requirements. Applicants will be selected on a best-qualified basis for each field of study. An applicant who consents may be selected for a field of study other than his or her first choice. Declination of schooling, except for valid military or compassionate reasons, will eliminate an applicant from further consideration, except for DC. Prior non-selection does not preclude subsequent consideration. c. CTP payment procedures. Confirmation of acceptance by civilian institutions of individuals selected for training will be provided by the individual to the appropriate Corps education branch. On notification of acceptance, payment with the long-term training facilities will be coordinated for fully-funded students by DHET (MCCS HE) Orders and assignments Assignment and reassignment orders for AMEDD personnel selected for LTHET are provided for as follows: a. PCS orders for LTHET. AMEDD Officer Personnel Branches, AHRC, will issue assignment instructions assigning officer personnel to student status. Reassignment orders will be published for (1) Successful completion of a course or program. (2) Failure of a student to meet academic standards established by the institution concerned. (3) Removal from the program for medical, disciplinary, or other reasons as determined by the DHET. b. Assignments. Students attending civilian institutions will be assigned to the AMEDD student detachment, AMED- DC&S, Fort Sam Houston, TX , with duty station at the civilian educational institution being attended. Orders assigning personnel to attend civilian educational institutions will specify a reporting date approximately 10 days before registration date. As an exception, MC officers who are selected by the Annual Joint Service GME Selection Board for specific GME training programs are authorized by TSG to be assigned to an MTF and attend fullyfunded courses at a civilian university. Students participating in military training programs will be assigned to the facility where the program is conducted. AR October

24 4 6. Administrative procedures a. DHET (MCCS HE). The DHET will receive and investigate complaints registered against a civilian institution in connection with training of military personnel. b. AHRC Branches (AMEDD). AHRC will (1) Coordinate training issues with the DHET (MCCS HE) as appropriate. (2) Monitor academic progress of personnel in the Corps that are taking part in civilian schooling. c. MEDCOM. MEDCOM will provide the AMEDD Student Detachment administrative support for AMEDD personnel attending civilian schooling overseas and in the continental United States (CONUS) (see AR 10 87). d. Purchasing and contracting officers. Purchasing and contracting officers will (1) Apply provisions of the Federal Acquisition Regulation (FAR), Defense Federal Acquisition Regulation Supplement (DFARS), and the Army Federal Acquisition Regulation Supplement (AFARS) to all contracts. (2) Negotiate with institutions concerned to cover all mandatory fees for which payment is authorized. e. AMEDD student detachment. Necessary training spaces within the student detachment are established automatically by issuance of PCS orders assigning personnel. These spaces automatically are withdrawn when these persons are reassigned. The AMEDD student detachment will (1) Manage personnel administration and strength accounting for student personnel. (2) Obtain academic evaluation reports (AERs) from educational institutions. (3) Forward AERs to the officer evaluation reports (OER) branch at AHRC. (4) Assure that academic reports are submitted according to AR and AR (5) Provide pertinent publications and forms to students. f. Students will (1) Notify the AMEDD student detachment, AMEDDC&S, Fort Sam Houston, TX , in writing immediately after PCS orders are received and forward two copies of their PCS orders to the unit. The student should also provide the unit with a mailing address, telephone number, and the start date of their civilian training. (2) Personally contact the proper administrative or registration office at their school to ensure necessary financial arrangements have been made. (3) Refer questions on financial arrangements to the Chief, CTP, AMEDDC&S. (4) Complete degree requirements expeditiously (including completed thesis or dissertation). If degree requirements will be satisfied sooner than originally planned or if additional time is required, students will request approval from AHRC. This request must arrive no later than four months before the original completion date. The request must contain a letter from the dean of the college or head of the academic department concerned attesting to the need for additional time and the exact date the schooling will be completed. For AMEDD Early Commission Program (AECP) students, request approval through Program Manager at U.S. Army Recruiting (USAREC) to the assistant chief of AN. (5) Attend school on a full-time, uninterrupted basis (see table 4 1, below). This includes summer sessions when applicable. Students attending schools that do not have regular summer sessions will submit to AHRC a proposed program for research or other educational opportunities during summer sessions. The student will indicate whether credit will be given for the proposed program. (6) Select a curriculum that will meet the specific educational requirements of the training program for which attendance was approved. (7) Devote full time to academic studies. Business activities are restricted under DOD R. Professional and military activities will be voluntary. Professional activities such as professional/military organizations or attendance at military events (ceremonies, staff duty, committees, and so on) will be voluntary and will not interfere with the student s academic studies. (8) Obtain approval of their topic from their respective specialty consultant for programs requiring a dissertation or thesis. Dissertation or thesis efforts should be in areas of interest to the Army and the AMEDD. Topics should be identified as early as possible to the respective Corps representative. (9) Forward a copy of the abstract of the completed dissertation or thesis and signed approval sheet to the respective Corps representative. The completed dissertation or thesis must include approval by the student s dissertation or thesis committee or other appropriate school official. (10) Forward TDY requests will be submitted by the student through the AMEDD student detachment to each Corps program manager at DHET (MCCS HE) no later than 60 days before the desired date of departure. On approval by the appropriate Corps program manager, DHET will forward appropriate fund cites to the AMEDD student detachment for publication of TDY orders. TDY travel, per diem, and reimbursement for required related registration fees (field trips, conferences, specialty board examinations) may be approved when such travel is required by the civilian institution as part of the training program. The request submitted by the student on DA Form 3838 will include dates of TDY (excluding travel), registration cost, and a statement from the civilian institution that the travel is a required part of the program. 10 AR October 2007

25 Table 4 1 Academic workload for military students System Degree type Minimum workload Semester Graduate 12 Hours per semester (As directed by the university or college standards for graduate student status). Semester Undergraduate Same as for graduate. Total summer Semester Total summer Semester Quarter (Including summer quarter if three months long) Quarter (Including summer quarter if three months long) Graduate Undergraduate Graduate Undergraduate As directed by the university or college standards for graduate student status. Same as for graduate. 12 Hours per quarter. 15 Hours per quarter. Notes: 1 The hours prescribed in this table are the academic hours per training period. Academic hours do not include audit courses except those approved by the training agency Gratuitous agreements a. General. This paragraph sets policies, procedures, and responsibilities for establishing and operating the Gratuitous Agreement Program. A gratuitous agreement is a contractual document to obtain short or long term training for military residents/fellows at civilian or Federal educational institutions when these institutions agree to provide training at no cost to the Government. b. Short-term training agreements. (1) Short-term training agreements responsibilities are as follows: (a) Commanders of major subordinate commands (MSCs) are supervisory authorities for gratuitous agreements for their respective treatment facilities. The Commanding Generals of U.S. Army MEDCOM and 18th MEDCOM are the supervisory authorities for Army medical treatment facilities within their respective commands. The MEDCOM, Assistant Chief of Staff for Resource Management, ATTN: MCRM M, provides general oversight for gratuitous agreements. Gratuitous agreements will be reviewed by the MTF s supporting Office of the Staff Judge Advocate (OSJA) and will be signed only by an authorized contracting officer. (b) Commanders of Active Army MTFs will ensure adherence to the requirements in this part of this regulation and implementing guidance. (2) Program cost. There will be no payment of charges or fees between the Army MTF and the educational institution for the short term training. (3) Procedures are as follows: (a) Procedures for use in contracting and securing agreements in conjunction with training under this regulation are set forth in the DFARS, Subpart and the AFARS, Subpart (b) Gratuitous agreements will follow the format established by TSG. The format provides that the educational institution will afford the military trainee the benefits and protection normally afforded employees of the educational institution regarding liability insurance and legal representation. (c) The authorized contracting officer supporting the MTF executes gratuitous agreements that conform to the prescribed format with the prior approval of the facility commander. (d) The oversight authority stated above, in coordination with MEDCOM OSJA, will approve in advance all requested deviations from the format. The contracting officer will not execute gratuitous agreements that deviate from the prescribed format without this approval. (e) The MTF will provide a complete copy of each gratuitous agreement and subsequent changes or modifications to the supervisory authority s support agreement manager within five (5) days of execution. (f) Military health care providers will request short term training through their chain of command. (g) The local command authority will issue TDY orders for military members to establish their official duties while training under gratuitous agreements. Orders will clearly establish place, inclusive dates, and scope of training that constitute official duties of individual members. (h) The MTFs will review each existing gratuitous agreement annually. (i) Persons subject to medical malpractice claims or litigation associated with gratuitous agreement training will refer to AR and AR for further instructions. AR October

26 c. Long-term medical training agreement. (1) The OTSG is the supervisory authority for long term medical training agreements. AMEDD Center and School, DHET (MCCS HE), is responsible for the preparation and execution of long term medical training agreements. (2) Procedures used in execution of long term medical training agreements are outlined in the DFARS, Subpart , and AFARS, Subpart (3) These medical training agreements afford the military medical residents/fellows the benefits and protection normally afforded employees of the educational institutions regarding malpractice liability insurance and legal representation. Personnel subject to medical malpractice claims or litigation will refer to AR and AR for further instructions. (4) The AHRC OPH XX (appropriate Corps) will issue PCS orders assigning selectees to the AMEDD student detachment, AMEDDC&S, Fort Sam Houston, TX to establish their official duties while undergoing training under medical training agreements. d. Program cost. There will be no payment of charges or fees between the Government and educational institutions for either short or long term training. Section II Training in Federal Facilities 4 8. Introduction Training in Federal facilities includes formal military training and training provided by service schools that offer college credit or accredited degrees, certificates, or diplomas through affiliations with civilian educational institutions Military training This category of training includes the following: a. The AMEDD OBLC. All AMEDD officers will attend the OBLC on entry on AD or shortly thereafter. b. The AMEDD CCC. AMEDD officers normally will attend the CCC during their fourth through seventh year of Active Federal Commissioned Service (AFCS). Specific attendance time will be determined by the respective career branch. Attendance requirements for officers who branch transfer to the AMEDD will be determined by the respective career branch. Selected MS officers may attend the Combined Logistics Captains Career Course (CLC3) at Fort Lee, VA. c. The MEL 4 Equivalent Course. AMEDD officers meeting DA and Corps-specific eligibility requirements automatically are considered for attendance by a selection board. Due to the limited number of quotas received, AMEDD officers are encouraged to take part in MEL 4 equivalent nonresident programs. Completion of the nonresident MEL 4 Equivalent Course is the same as resident completion for assignment purposes, command, and SSC consideration. d. The SSC. AMEDD officers may attend the U.S. Army War College (AWC), the Industrial College of the Armed Forces (ICAF), or an AMEDD MEL 1 equivalent fellowship. AMEDD officers meeting DA and Corps-specific eligibility requirements automatically are considered for resident attendance by a DA selection board. AMEDD officers on the order of merit list (OML) for SSC may request consideration on a competitive basis to take part in the AWC Distance Education Program (AWCDEP). This is the only nonresident means through which officers can complete and receive credit for SSC. e. Service obligation. Attendance at these courses of instruction incurs a service obligation as prescribed in this regulation, unless otherwise indicated Graduate-level schooling The graduate-level schooling category of training includes the USUHS, U.S. Army-Baylor University Graduate Program in Health Care Administration, and other graduate-level schooling that is Corps-specific. Application procedures should be obtained from respective AMEDD Corps program managers. a. The USUHS offers a program of graduate education to AMEDD officers. b. The U.S. Army-Baylor University Graduate Program in Health Care Administration is a fully-funded program consisting of a 12-month didactic phase conducted at AMEDDC&S and a 12-month residency at an AMEDD fixedtreatment facility, an approved AMEDD or DOD facility, or a civilian organization. This is the only program through which an officer may obtain a master s degree in health care administration (HCA) under Army sponsorship. (1) Location of the residency phase is determined by the appropriate career branch. (2) For application procedures, contact the respective AMEDD branch program manager. c. For information regarding AMEDD Corps-specific graduate-level programs, see the appropriate Corps chapter in this regulation or contact the appropriate Corps education branch. 12 AR October 2007

27 Section III Professional Postgraduate Short Course Program Definition The PPSCP is a military-unique education and training program that focuses on emerging trends and readiness issues to support the AMEDD mission General The Surgeon General has responsibility for the PPSCP and exerts operational control through the Commander, AMEDDC&S, who provides funding and administrative oversight. Education programs are determined by AMEDD Corps chiefs and their subordinate consultants to meet current mission requirements. Courses are administered by AMEDD Corps-specific program managers who are responsible for fiscal planning and execution and assisting course project officers with technical course content Course listing Courses are listed on the DHET homepage and course scheduling information is available through the AMEDD Corps program manager in the DHET Attendance Centrally funded (CTP) attendance at all PPSCP courses is limited to AD Soldiers. Enrollment is also open to the RC; locally funded AD personnel; and space available, non-ctp funded civilians. Other private persons may also attend, space available, based on approval and justification from the corps. Centrally funded attendance is limited to one PPSCP course per person per FY. Exceptions can be granted if attendance is in the best interest of the Army Application Application is according to current guidelines, published by the DHET. Specific questions should be directed to the appropriate program manager. Chapter 5 Policy and Dental Corps Policy and Programs Section I General Administration 5 1. General The AGD 1 program in selected dental specialties and fellowships will be established at designated Army dental activities (DENTACS) as directed by TSG. Additional training positions may be required through civilian institutions or integrated with the other services. These programs will be conducted to meet a. Military requirements as determined by the Chief, DC. b. Requirements of the Council on Dental Education and Licensure and American Dental Association (ADA) Continuing Education Recognition Program (CERP) Standards and Procedures of the American Dental Association Policies The following policies pertaining to education and training apply within the DC. The general sequence for military professional training is discussed below. a. The AMEDD OBLC. All Active Army DC officers will attend the OBLC before their first AD assignment when possible. RC DC officers will attend OBLC within 3 years of commissioning. b. The CCC. DC officers in career status will normally attend the resident AMEDD CCC between their second to eighth year of AFCS. CCC consists of two phases: Phase I is a one hundred-hour correspondence course, which is followed by the ten-week resident Phase II course at Fort Sam Houston. c. The MEL 4 equivalent course. Officers will be considered for attendance at the resident course when they have attained the grade of major between their eighth and twelfth years of AFCS. Because of the limited number of quotas available for resident attendance, DC officers are encouraged to enroll in the nonresident correspondence course of instruction or USAR course. To be eligible for the nonresident course, officers must have completed CCC, be in the grade of CPT (P) or higher and have between 7 and 18 years AFCS (waiverable to 6 years for majors). d. The SSC. All eligible DC officers will be considered for SSC attendance. Eligibility consists of rank of lieutenant colonel or colonel and AFCS between 11 to 22 years. Officers on the SSC (AWC) alternate list are encouraged to apply for the AWCDEP. AR October

28 e. Graduate-level training. Graduate-level training consists of dental-related formally accredited advanced general dentistry or specialty training of at least one (1) year duration Eligibility a. General requirements. General requirements for graduate level training, excluding the AGD 1, in Federal or civilian facilities (1) All officers are eligible to apply for all dental specialties. Those officers serving in outside the continental United States (OCONUS) assignments selected for training may be granted a deferment until the officer s scheduled date of expected return from overseas and the next training class begins according to current policy. (2) Officers must be Active Army on AD to begin a training program. (3) Officers not selected for promotion are ineligible to apply for or start long-term training programs unless a waiver is granted by the Chief, DC. (4) Officers who previously entered into a long-term training program and were involuntarily removed from the program are ineligible to reapply for training. Officers who voluntarily withdrew from a training program can regain eligibility to apply for another training program. However, they must wait until one AY has passed after the AY of their withdrawal, provided they satisfy other eligibility criteria. (5) Officers must be in compliance with DOD, DC, and OTSG directives and policies pertaining to state licensure. (6) Officers must be in compliance with Army weight control and physical fitness standards as established by AR Commanders will promptly notify the Chief, GDE, if a selectee for long-term training fails the Army Physical Fitness Test (APFT) or does not meet Army weight standards. Selectees who are not in compliance with these standards may be deleted from the resident selection list. (7) An officer who has completed one long-term training program may apply for a second program at the discretion and approval of the Chief, DC. (8) Waivers may be requested regarding any of the above criteria. See paragraph 5 3c, below, for specific guidance on waivers. b. Residencies and fellowships. Applications will be submitted using online application to the Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HED, Fort Sam Houston, TX If applications are mailed, they must arrive no later than the deadline announced each year via worldwide message to be considered for training beginning the next FY. The following supporting documents will also be forwarded no later than the deadline: (1) Official dental school transcripts. (2) Applicant s memorandum of intent. (3) Dental National Board, GRE, or GMAT scores, as appropriate. (4) Current official photograph if the applicant is an AD member. If a senior dental student or otherwise obligated to the DC, the applicant must submit a passport type photo. (5) Memorandum of recommendation from the applicant s commander. Applicants in units commanded by other than a dental officer may obtain, in addition to a memorandum of recommendation from their unit commander, a memorandum of recommendation from a specialist in the specialty to which they are applying. Officers who recently transferred under PCS orders may submit one memorandum of recommendation from either their previous commander or current commander, but not both. c. Waivers. Any requests for waivers to any of the criteria identified in paragraphs 5 3a and 5 3b, above, should be directed through the commander who prepares an endorsement with a recommendation for either concurrence or nonconcurrence. The request is then submitted through the Academy of Health Sciences, ATTN: MCCS HED, through Chief, DC branch, AHRC, for concurrence or nonconcurrence and submitted to the Chief, DC for approval or disapproval Selection a. All selections for training will be made by a selection panel. If not directed by the DC to attend a specific civilian program, individuals selected for civilian schooling must apply to, and be accepted by, a school that is approved by the DC. This action will be coordinated through and approved by the GDE branch, ATTN: MCCS HED. b. The selectee must meet weight control in accordance with AR prior the start of training Withdrawal, probation, termination, and extension Dental residency program directors (PDs) and commanders of dental units sponsoring residency training programs are responsible for ensuring that residents satisfactorily complete all requirements for their respective specialty training programs and are clinically and academically competent to practice the specialty prior to graduation. Deficiencies in performance will be identified and documented as early as possible in the training program. When deficiencies are identified, PDs and assigned teaching staff will make every reasonable effort to assist residents in improving their performance. A resident is expected to complete all degree requirements within the time specified. If additional time is required, the resident will submit a request for extension to the DC, GDE office, at the above address. This request 14 AR October 2007

29 must arrive in the career branch from the GDE office no later than four months prior to the required need for additional time and the exact date that the training will be completed. If deficiencies cannot be overcome despite the best efforts of the PD and teaching staff, procedures for withdrawal, probation, termination, or extension will be initiated as outlined below. a. Reasons for withdrawal. An AGD 1, specialty resident, or fellow may be withdrawn from the program for any of the following reasons: (1) Voluntary request. (2) Recommendation of the DENTAC commander and the Dental Education Committee. (3) On authority of the Chief, DC to meet the needs of the Army. b. Withdrawal procedures. The withdrawal procedures are as follows: (1) When a resident wishes to voluntarily withdraw from training, the resident must submit a request in writing through the PD and the Dental Education Committee. The request for withdrawal, to include an endorsement by the unit commander and an effective date, will be forwarded through the Academy of Health Sciences, Chief, GDE, ATTN: MCCS HED, through Chief, DC branch, AHRC, for final action by the Chief, DC. (2) A DA Form 67 9 (Officer Evaluation Report) will be submitted on an officer withdrawn from training in accordance with procedures outlined in AR (3) Residents attending a civilian program who desire to withdraw from training prior to completion must submit a request to Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HED, Fort Sam Houston, TX The request must contain an effective date of withdrawal and a statement from the training PD indicating acceptance of the withdrawal request. Appropriate channels will be notified by the Corps program manager. c. Probation. The following are reasons for probation: (1) Cause. A resident may be placed on probation by the unit commander for unsatisfactory performance for no less than 30 days and must receive notification in writing that he or she has been placed on probation. During the probationary period, the resident will be given appropriate opportunity to improve performance to a satisfactory level. The probationary period may be extended. A resident may be processed for immediate termination, based on matters other than those upon which the probation is based, during the period of probation. (2) Unsatisfactory performance. Examples of unsatisfactory performance include, but are not limited to (a) Failure to meet academic or technical performance standards or objectives of the program. (b) Unprofessional conduct. Such conduct includes, but is not limited to 1. Any act of omission constituting misconduct, or moral or professional dereliction as that phrase is described in AR Any act of omission which is inconsistent with the safe, orderly, and competent practice of dentistry. 3. Inappropriate personal conduct that disrupts the academic atmosphere, adversely affects patient care, or casts doubt upon a resident s future value to the DC. 4. Lack of motivation and/or application. d. Procedures for requests for probation are as follows: (1) A written request for probation, with supporting documentation, may be submitted to the dental education committee by the PD. A copy of this request will be furnished to the resident and a record of this notification will be maintained by the PD. (2) The Dental Education Committee will consider the request and, if recommended by the majority vote, recommend to the commander that the resident be placed on probation. A resident may be placed on probation only by the unit commander. e. Notification of probation. The Director of Dental Education or unit commander will notify the resident, in writing, that he or she has been placed on probation. The notification will include (1) The reasons for probation. (2) The suggested corrective actions for improvement. (3) The duration of probation. f. Probationary period. During the probationary period, which must be for a minimum of 30 days, the resident will be given appropriate opportunity to improve performance to a satisfactory level. The probationary period may be extended by a majority vote of the dental education committee. A resident may be processed for immediate termination, based on matters other than those upon which the probation was based, during any period of probation. g. Termination of probation procedures are as follows: (1) The probationary status will end (a) When the resident has improved to a satisfactory level, as determined by the dental education committee. (b) When the resident has voluntarily withdrawn from training. (c) When the resident has been terminated from training. (2) The Director of Dental Education will notify the resident, in writing, of the end of probation. AR October

30 h. Reports. A Dental Resident Evaluation Report will be completed and forwarded through the Academy of Health Sciences, ATTN: MCCS HED, Suite 201, 1750 Greeley Road, Fort Sam Houston, TX , within five working days after an individual has been placed on probation or relieved from probation. A copy of the letter of notification sent to the resident will be included. i. Procedures for termination of training are as follows: (1) Authority. A two-thirds vote of the Dental Education Committee is required to recommend termination. (2) Reasons for termination. Examples of reasons for termination include, but are not limited to (a) Failure to satisfactorily progress toward correction of deficiencies while on probation. (b) Regression or failure to satisfactorily progress in training after removal from probation. (c) Any act of gross negligence, misconduct, or moral or professional dereliction (see AR ). (d) Demonstrated inability or unwillingness to engage in the safe, orderly, and competent practice of dentistry. j. Procedures for recommendation for termination are as follows: (1) If termination is recommended, the PD will (a) Submit a written recommendation for termination with supporting documentation to the Dental Education Committee. (b) Furnish the resident a copy of the recommendation for termination. (c) Maintain a record of resident notification. (2) After notification of the recommended termination, the resident (a) Will have five working days to examine the recommendation and file and submit a written statement. (b) May consult with counsel (who need not be a lawyer). (c) May not appear before the committee, with or without counsel, nor may have his or her counsel appear before the committee alone on the resident s behalf. (3) The Dental Education Committee will consider the termination request and the affected resident s statement to determine whether to recommend termination to the commander. A two-thirds vote is required to terminate. The PD s request and the recommendations of the Dental Education Office will be forwarded to the commander within five working days. k. The following are actions by the commander: (1) The commander will notify the resident in writing of the Dental Education Committee s recommendation and their decision within five working days. (2) If the commander s decision is to continue the resident in training, an information copy of the proceedings will be forwarded through the Academy of Health Sciences, Department of Health Education and Training, 1750 Greeley Road, Suite 201, ATTN: MCCS HED, Fort Sam Houston, TX (3) If the commander s decision is termination of training, the resident will be given five working days to submit a statement of appeal to the commander and/or request a personal appearance with the commander. The resident may not be accompanied by counsel during such personal appearance. (4) The commander should consider whether further action, such as initiation of elimination action, is appropriate under the circumstances of the case. l. Further processing. If further processing is needed (1) The commander s decision with resident appeal, if provided, and the Dental Education Committee s recommendation will be forwarded to the Academy of Health Sciences, Department of Health Education and Training, 1750 Greeley Road, Suite 201, MCCS HED, Fort Sam Houston, TX , for final action by the Chief, U.S. Army Dental Corps. (2) A DA Form 67 9 will be submitted on an officer terminated from training in accordance with procedures outlined in AR m. Procedures for extensions of training are as follows: (1) Residents who are absent from any program for more than 30 training days in an AY or who otherwise fail to satisfactorily complete requirements for graduation must either be extended or be terminated from training at the discretion of the Chief, DC. (2) The Dental Education Committee will determine whether a resident s training should be extended or terminated. The committee s recommendation, including the duration of any recommended extension, will be forwarded to the commander for his or her review and concurrence. (3) If the recommendation is for extension in training, the commander will notify the resident in writing of the decision; the duration of the recommended extension; and that the recommended extension must be acted upon by the Chief, DC. A copy of the proceedings will be forwarded through the Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HED, Fort Sam Houston, TX , for final action by the Chief, DC. (4) If the recommendation is for termination, the instructions in paragraph 5 5j, above, will be followed. n. Active duty service obligation. Residents who withdraw or are terminated from training may be required to complete their ADSO (as stated in their contract or SAs), at the option of the Chief, DC and with approval of the Secretary of the Army. However, nothing in this policy will be construed as limiting the authority of HQDA to 16 AR October 2007

31 discharge, separate, or release from AD any officer whose conduct, record, qualifications, status, or performance would permit such action under applicable regulations. Further, nothing in this policy will be construed to modify the ADSO provisions of any contract SA. o. Other Federal programs. Withdrawal, probation, terminations, and extension procedures are determined by applicable agreements and other regulatory guidance of the sponsoring institutions. Section II Educational Programs 5 6. Advanced general dentistry 1 year a. Requirements. Each program must meet the requirements outlined by the Council on Dental Education of the ADA. b. Time allocated to specialties. The time allocated to each specialty must fulfill the requirements as published by the Council on Dental Education of the ADA Dental residency programs a. Military residencies. Residency programs are long-term training and are offered in selected specialties to eligible Army DC officers to meet military requirements. Officers may be selected for additional residencies provided the eligibility requirements are met. Residents will receive special pay in accordance with published FY policy and procedures while in initial residency training. Programs will be conducted as outlined by the Council on Dental Education of the ADA. b. Civilian residencies. Residencies in civilian educational institutions may be made available as needed to augment training not otherwise available in Federal programs. Residents will receive special pay in accordance with published FY policy and procedures while in training Dental Fellowship Program The Dental Fellowship Program will provide professional training in selected fields to meet military requirements and is not considered long-term training. These programs normally will be one year in length. Fellowships are not designed to meet the requirements of a specialty board Degree-producing programs These programs will provide professional training in selected fields to DC officers to meet military requirements. Section III Administration of Educational Programs Responsibility for programs The DENTAC commander at installations conducting dental residencies or fellowships is responsible for the organization, integration, and supervision of dental education programs at that installation Administrative points of contact a. C o r r e s p o n d e n c e c o n c e r n i n g p e r s o n n e l m a t t e r s w i l l b e f o r w a r d e d t o C o m m a n d e r, A H R C, A T T N : AHRC OPH DC, 200 Stovall Street, Alexandria VA b. Correspondence concerning functioning and professional content of programs will be forwarded to Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN MCCS HED, Fort Sam Houston, TX c. Correspondence regarding accreditation and site visitation will be sent directly to the ADA, Council on Dental Education, 211 East Chicago Avenue, Chicago, IL 60611, with an information copy to Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HED, Fort Sam Houston, TX Director of Dental Education The commander will appoint a qualified dental officer to serve as Director of Dental Education. The Director of Dental Education will assist the commander in the organization, integration, and supervision of all dental education programs along with department chiefs and section chiefs having an interest in the programs. As appropriate, the officer will be appointed as a member of the medical center (MEDCEN) or the U.S. Army Medical Department Activity (MEDDAC) Education Committee. This will be done to coordinate requirements of the Dental Education Program with the facilities and teaching program of the MEDCEN or MEDDAC Dental Education Committee a. Membership. A Dental Education Committee will be composed of the Director of Dental Education (chair) and members of the staff directly involved in the teaching programs. To establish the commander as a separate and higher appeal authority, the DENTAC commander will not be a member of this committee. AR October

32 b. Limited membership. Committee membership will be limited to the minimum number necessary to exercise effective control of the training programs and still maintain a multi-specialty approach. c. Duties. The Dental Education Committee will meet as required to (1) Supervise the Dental Education Program. (2) Evaluate the professional progress of the officer residents. A specific recommendation will be made by the committee for the continuation, relief, or advancement of each resident at the end of each quarter. The recommendation will be noted in the minutes. A Dental Resident Evaluation Report will be used for the quarterly evaluation. (3) Monitor professional activities and special events sponsored by the DENTAC to include listing titles of papers and lectures, appointment to professional organizations, committee assignments, information relative to specialty board certification, and other pertinent data concerning the committee or residents. (4) Recommend extensions or terminations. If a resident is absent for more than 30 training days in any AY, the committee will submit a request for extension or termination in the program. This request will be forwarded through the Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HED, Fort Sam Houston, TX for final action by the Chief, DC. (5) Approve teaching plans. (6) Approve research projects, clinical studies, and professional papers by officer residents. (7) Recommend attendance of officer residents at short professional courses or professional meetings. (8) Recommend award of certificates. On completion of an officer resident s participation in an educational program, the Dental Education Committee will make a recommendation to the commander that the individual be issued a U.S. Army Medical Department Certificate for Residents, Interns, and Fellows reflecting satisfactory completion of the requirements. Certificates will be signed by both the commander and the director of the residency program. (9) Record and maintain committee minutes. These minutes will provide a source record for accreditation evaluation by the ADA. The dental education committee minutes will have, as a minimum, the following topic headings: (a) Professional progress of officer residents. (b) Professional activities 1. Title of paper and lecture presented or published. 2. Appointment of DC officers to professional organizations. 3. DENTAC committee assignments. 4. Specialty board certification. (c) Absence of residents. (d) Status of teaching plans (approval/disapproval) should reflect inclusion of conferences per paragraph 5 14, below. (e) Research projects, clinical studies, and professional papers. (f) Attendance of DC officers at AMEDD short courses and dental professional meetings. (g) Awards and certificates. (10) Forward a copy of the minutes of each meeting to the Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HED, Fort Sam Houston, TX Requirements for dental activities conducting residency programs a. Teaching plan. The mentor for each specialty area directly involved in the training program will develop and periodically review a progressive, comprehensive teaching plan. The dental education committee will approve each plan and integrate it into the complete program. The program will be published for the information and guidance of all concerned. b. Conferences. Conferences indicated below are the minimum requirements for DENTACs sponsoring residency programs. Other conferences may be scheduled at the discretion of the dental education committee. (1) The DENTAC professional staff conferences. A minimum of 12 professional staff conferences will be held during the training year. They will consist of presentations on professional matters of general interest and all dental officers may attend. (2) Additional wartime role training. Training will be conducted in accordance with guidelines established by the Chief, DC. c. Professional meetings or courses. (1) Officer residents may be authorized to attend professional meetings under section IV of this chapter. (2) Residents may attend local professional meetings at the discretion of the commanding officer. Residents should be encouraged to present table clinics or other professional material. d. Professional papers. (1) Each resident or fellow is required to prepare a military relevant professional paper or to undertake a research project with a view toward eventual publication. 18 AR October 2007

33 (2) Papers approved for publication may be presented at local, regional, or national meetings. Funds for defraying travel expenses and per diem may be authorized but must be made available by the local commander Dental Resident Evaluation Report The Dental Education Committee will maintain a Dental Resident Evaluation Report for the professional activities of each resident and fellow during periods of formal training. The record will be a part of the permanent file of the committee. Should the individual be transferred to another Army DENTAC before completion of training, copies of these evaluations will be forwarded to the gaining DENTAC. a. Purpose. This report provides information required for professional progress of residents and fellows. b. Preparing agencies. Reports will be prepared by the Dental Education Committee on activities designated to conduct GDE programs. c. Frequency and period covered. Evaluations will be (1) Prepared quarterly during the period of training. A copy of these reports will be maintained as a part of the permanent file of the Dental Education Committee. A special evaluation will be completed when a resident is placed on probation, is relieved from probation, or is terminated from training for any reason. (2) Grouped and sent with a transmittal memorandum to the Academy of Health Sciences, DHET, 1750 Greeley Road, ATTN: MCCS HED, Ft. Sam Houston, TX Section IV Continuing Health Education Details for the U.S. Army Dental Corps General This section provides guidance for administering and operating a CHE program for DC officers. It outlines responsibilities for CHE and provides procedural guidelines for continuing dental education Dental Corps responsibilities a. The Chief, DC is responsible for policy and procedural guidelines to develop and conduct continuing dental education. b. The DENTAC commander/director of dental services is responsible for the management, operation, and evaluation of the local dental CHE program. A Director of Dental Education will be appointed to conduct the program. c. The Director of Dental Education will (1) Implement, supervise, manage, evaluate, and provide continuous quality improvement for the local CHE program. (2) Provide assigned DC officers with an annual statement of CHE credits earned during the preceding year and a triennial statement of CHE credits earned for each 3-year period. (3) Include in any advertisement for CHE under the supervision of the Dental Education Committee that the program has CERP approval through the ADA. d. Dental officers will (1) Maintain records of their participation in CHE programs. (2) Obtain 30 hours of CHE each year, of which 20 are from Category I Policy and procedures Categories of acceptable dental education activities and credits to be recorded are listed below. a. Category I, scientific dental courses. (1) One hour of credit will be recorded for each hour completed in the scientific portion of the following educational activities: (a) Formal scientific CE courses are sponsored by organizations or institutions within the civilian or military community. The sponsors must be approved by the ADA or MCCS HED. These organizations and institutions may include, but are not limited to, dental schools; national specialty organizations; military specialty organizations; and constituent societies of the ADA. (b) Short courses sponsored by ASCP, AFIP, and ACOMs. (c) Short courses sponsored by other Federal Services. (d) Dental or medical professional staff conferences having a formal scientific CE program to include lectures or formally presented audiovisual materials. (e) Local civilian dental society meetings that are part of a scientific CHE program. (2) Attendance at multi-day convention meetings sponsored by an approved organization will be given five hours credit. Meetings may be at international, national, regional, or state level. An additional hour-for-hour credit for such meetings may be gained by attending (a) Lectures or clinics within these meetings, as verified by the sponsor. AR October

34 (b) A breakfast or luncheon session having a scientific program. (3) Formal clinical rotations of at least four weeks in a dental specialty other than general dentistry qualify for one hour of CHE credit per eight hours of rotation. The clinical study must be under the guidance of a board-eligible or certified specialist in that specialty. (4) Study clubs formally organized under the direct or indirect supervision of an approved sponsor may be given one hour of credit per hour completed. (5) Postgraduate or residency study leading to satisfactory completion of certain educational programs may be credited with 50 hours per AY of study. These programs must be accredited by the ADA. This provision is made to cover the many learning presentations for residents. This credit is in addition to other forms of CE normally attained outside academic residency training. Credit for CHE is specifically excluded for lectures given by mentors as a part of their normal duties within teaching programs. b. Category II, papers, publications, and scientific presentations. Credit for activities may be given as follows: (1) Ten credit hours (CHs) may be given to each author of a scientific paper relevant to the dental profession that is published in a national or state recognized health care journal. Ten CHs may also be given for an individually authored chapter of a textbook. Twenty CHs may be awarded to the author of an entire textbook. Requests for this type credit will be submitted to the Academy of Health Sciences, DHET, ATTN: MCCS HED, Suite 205, 1750 Greeley Road, Fort Sam Houston, TX A copy of the article or textbook must accompany each request. (2) Presentation of a paper or lecture at the educational activities described in Category I qualifies for one hour of credit per hour of lecture. This credit is in addition to the credit awarded for attending the session. c. Category III, clinics and exhibits. Credit will be given for (1) Presenting a table clinic at a professional meeting described in Category I. The presentation may be awarded four hours of credit. (2) Presenting an exhibit on a topic related to dentistry described in Category I at professional meetings. The presentation may be awarded four hours of credit. d. Category IV, self-instruction. Formal training extension courses and self-assessment tests seen as exportable selfstudy packages may be given CHE credit. (Extension courses must use a testing mechanism.) Persons completing such courses will submit written requests for CHE credit to the Academy of Health Sciences, DHET, ATTN: MCCS HED, Bldg. 4011, 1750 Greeley Road, Fort Sam Houston, TX The request should include (1) The published course description. (2) A copy of the diploma, certificate, or letter showing satisfactory course completion. e. Category V, other educational activities. (1) One hour of credit may be given for each hour completed in programs related to managing a dental practice. (2) Other meritorious education activities not discussed in these guidelines may be given CHE credit. The Chief, GDE branch, Academy of Health Sciences, will determine if these activities are acceptable toward the CHE requirement. Requests for credit in Category V must be submitted in writing to the Academy of Health Sciences, DHET, ATTN: MCCS HED, 1750 Greeley Road, Suite 205, Fort Sam Houston, TX (3) Continuing health education courses not falling within these guidelines must be approved before they are presented as CHE credits for Army DC officers. Requests for approval should be submitted to the Academy of Health Sciences, DHET, ATTN: MCCS HED, 1750 Greeley Road, Suite 205, Fort Sam Houston, TX Such approval does not prevent the review of sponsoring organizations or their individual programs. Sponsors seeking approval must be formally organized. The courses they offer must have intellectual or practical content and deal primarily with the practice of dentistry or the professional responsibility of those enrolled. Requests should include (a) The name and address of the person or organization responsible for conducting the course. (b) An outline of the CHE program. (c) A description of the facilities in which the course will be conducted. (d) Any other appropriate data that will enhance course approval. f. Inquiries. Inquiries concerning acceptability of CHE activities, approval of sponsors, or CHs should be addressed to the Academy of Health Sciences, DHET, ATTN: MCCS HED, 1750 Greeley Road, Suite 205, Fort Sam Houston, TX Professional Postgraduate Short Course Program Applications for PPSCP training will be submitted on DA Form 3838, 60 days prior to the start date of the short course. AD officer applications may be sent to the program manager at the Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 205, ATTN: MCCS HED, Fort Sam Houston, TX USAR and ARNG will submit applications in accordance with local policies. The project officer will notify approved attendees. Details may be obtained from the current PPSCP handbook. 20 AR October 2007

35 Chapter 6 Medical Corps Policy and Programs Section I Introduction 6 1. General This chapter prescribes procedures for applying for all programs of GME whether taken in Federal or civilian medical facilities or colleges and universities. It also provides administrative and control guidance for GME training Policies The following policies pertaining to education and training apply within the MC: a. Military professional training sequence. The general sequence for military professional training is discussed below. (1) The AMEDD OBLC. All AC MC officers will attend the OBLC before their first AD assignment in a non-gme status. All RC MC officers will attend OBLC within 3 years of commissioning. (2) Combat Casualty Care Course (C4). Except for those who have attended equivalent training, attendance at the C4 course is required for trainees under the military unique requirement. It is recommended for all career status MC officers between their second and eleventh year of AFCS. (3) The CCC. MC officers in career status will normally attend the resident AMEDD CCC between their fourth to seventh year of AFCS. MC officers participating in GME training will not be released to attend CCC except under unusual circumstances and must be approved by HQDA, OTSG ATTN: DASG PSZ MG. (4) The MEL 4 equivalent course. Officers will be considered for attendance at the resident course when they have attained the grade of major or captain promotable (P) between their fifth and eleventh years of AFCS. Because of the limited number of quotas available for resident attendance, MC officers are encouraged to enroll in the nonresident correspondence course of instruction or USAR course. To be eligible for the nonresident course, officers must have completed the CCC and have between 8 and 18 years of AFCS. Waivers may be granted by the commandant, MEL 4 equivalent course, for AFCS. (5) The SSC. All eligible MC officers will be considered for SSC attendance. Eligibility consists of grade of lieutenant colonel or colonel and AFCS between years. Officers on the SSC (AWC) OML are encouraged to apply for the AWCDEP. b. Utilization tours for training. A tour of duty using skills and knowledge developed by significant training experiences will normally occur immediately following the training. The major exception to this general policy is that utilization tours following the CCC and C4 are not required. c. Methods of assessing needs. Education and training opportunities within the MC, other than GME, are generated by need as assessed by the following methods: ( 1 ) L o n g - c o u r s e n e e d s a r e d e t e r m i n e d b y v a l i d a t e d r e q u i r e m e n t s, p r o c u r e m e n t s t a n d a r d s, a n d r e c o g n i z e d requirements. (2) Short-course needs are determined by a series of annual needs assessments using input from the field, MC specialty consultants, and the MC branch. d. Training selections. Long-term training selections, other than GME, are made through a formal board process convened by the director, OPMD, AHRC, for degree programs and the chief, MC branch for non-degree programs. Attendance at short courses is approved within the MC branch, AHRC. e. Constructive credit. MC officers can apply for constructive credit for military courses under AR based on experience and other training. Approval of constructive credit is limited because of opportunities available for MC officers to attend the resident CCC and enroll in the nonresident MEL 4 Equivalent Course. Constructive credit is awarded through a formal board process convened by the Commander, AHRC Types of training a. Military first year graduate medical education (FYGME). This is defined as the first postgraduate year (postgraduate year one (PGY 1)) of accredited training immediately following medical school. The FYGME programs are established in designated hospitals as directed by TSG. The FYGME program will be conducted to meet military requirements and educational standards of the Accreditation Council for Graduate Medical Education (ACGME). b. Military residencies. Residencies are defined as a formal program of medical specialty training that includes the second and subsequent postgraduate years (postgraduate year two (PGY 2) or above) of accredited training. Completion of training leads to eligibility for certification by an American Board of Medical Specialties. Residencies will be established in designated Army hospitals as directed by TSG. These residencies will be conducted to meet military requirements and educational standards of the ACGME as defined in "Essentials of Accredited Residencies in GME" in order to satisfy requirements for board certification. c. Chief residents. Where more than one resident is assigned to serve in the last year of clinical training, a chief AR October

36 resident may be appointed to assume executive responsibility for supervision. This duty may be rotated among the senior residents. d. Pre-specialty training. Training in certain specialties may require completion of prerequisite training in a separate program. Hospitals conducting this prerequisite will ensure that training is approved by the appropriate specialty board as offering satisfactory training in preparation for specialty board eligibility. e. Civilian residencies. Residencies in civilian hospitals in various specialties may be made available and used as needed. f. Fellowships. Fellowships are defined as a formal program of medical subspecialty training following completion of primary specialty training. TSG will approve selected officers as needed for training at military and civilian hospitals in any specialty or research area necessary to the medical mission Training spaces The Surgeon General will annually approve through an official school year plan the number and location of all specialty training positions available for MC officers. This will consider training capacity at each hospital and Army requirements Applications, appointments, advancements, service agreements, and selections a. General. All GME applicants must meet prerequisites and all other requirements as prescribed annually under an applicable GME guidance issued by TSG for selection in the training year. However, all applicants must be United States citizens. Active duty applicants must be MC officers. The only means available for an Army AD officer or a civilian to apply for and participate in GME training (PGY2 year and above) is through a Web-based application. Contact the program manager for additional information. Deadline date for application is 15 September of each year. Civilian applicants meet requirements as prescribed under the applicable GME guidance. All GME applications will be submitted as prescribed in the applicable GME guidance. Appointments of medical officers into residency or fellowship training programs will be for the period of time needed to achieve eligibility for an American specialty board. When no specialty board exists, training periods will be determined by TSG. A GME training year (includes the FYGME program) will consist of at least 48 weeks. Medical officers appointed to GME programs having research requirements remain in a training status assigned to the primary training program for the duration of the research period, regardless of the location of the research experience. Research periods performed at other than the primary training program site will not require funding or a permanent change of duty station. b. R e q u i r e m e n t s. A l l A r m y o b l i g a t e d m i l i t a r y m e d i c a l s t u d e n t s, i n c l u d i n g R e s e r v e O f f i c e r s T r a i n i n g C o r p s (ROTC), Armed Forces Health Professions Scholarship Program (HPSP) and USUHS, are required to apply for the Army FYGME program (PGY 1 year of training). Applicants (military and civilian) must comply with requirements as indicated in the applicable annual FYGME letter of instruction (LOI). c. Prerequisites for FYGME. Applicants requesting FYGME training must meet, as a minimum, the eligibility requirements, to include security requirements for appointment in the MC USAR (see AR ) and meet the following special eligibility requirements: (1) Be a United States citizen. (2) Be enrolled full-time in the senior year of a medical degree program in an accredited educational institution in the United States or Puerto Rico. The educational program must be accredited by the appropriate accrediting organization recognized by the Army. (3) Meet other eligibility criteria and the established deadline dates as stated in the FYGME LOI available on the Web site. d. Categories of training. The Army offers GME training in military programs and sponsored and non-sponsored civilian programs. The specialty, start date, and number of positions offered within each Category are published in an annual GME procedural guidance. Sponsored civilian trainees remain on AD and receive full pay and allowances. e. Non-funded Graduate Medical Education Program (NGMEP). The NGMEP provides an opportunity for AD physicians to be released from AD in order to complete GME training at no expense to the Government in exchange for an agreement to return to AD upon completion, termination, or resignation from training. Applications for the NGMEP will be submitted in the same manner as all other GME applications. If available, training spaces for this program will be approved in the annual GME school year plan. (1) Eligibility requirements for the NGMEP are as prescribed in the applicable GME guidance. Selectees must disclose any medical condition that would render them ineligible for reentry onto AD under existing requirements. Selected applicants with disqualifying conditions are ineligible for the NGMEP and selection is automatically void. (2) Upon notification of Army selection, other than Active Army officers must submit a request for release from AD under AR , section VII, chapter 2. Active Army officers must submit an unqualified resignation under AR , section II, chapter 3, including therein a request for appointment in the USAR. A signed NGMEP SA must be submitted with the request for release from AD. f. Army weight control, Army physical fitness, and licensure. All individuals selected for PGY 2 training and above must comply with AR and FM as appropriate and licensure requirements as prescribed by applicable law, 22 AR October 2007

37 DOD, Army and GME guidance. Officers entering a new GME program at the PGY 2 year and above must have passed the APFT within six months "prior to" entering the GME program or have passed the last scheduled APFT, whichever is later. Noncompliance with the Army weight, physical fitness, or license requirements may be a basis for withdrawal of a GME selection or for denial of advancement in GME pursuant to existing policy. The disposition of trainees already in training will be as prescribed under existing guidance governing weight and physical fitness standards and licensure requirements. g. Advancement of students (PGY 2 year or above). All trainees beginning GME at the PGY 2 or above year of training will be considered for advancement each year until they complete their training as long as specialty educational requirements are met. As a condition of advancement/continuation, the trainee must maintain compliance with prescribed Army and GME policy. h. SAs and ADSO. All selected applicants must sign a SA for any category of GME training unless the training is covered under a preexisting SA. The ADSO and MTS will be as prescribed in the SA and DOD guidance. The GME training agreement will serve as the document required to extend the AD term of the MC officer as specified in AR , paragraph 4 2i. Individuals who voluntarily withdraw or are terminated from a GME training program will have an ADSO in accordance with chapter 2. i. Convening authority. (1) The JSGMESB is convened annually under the authority of the Assistant Secretary of Defense for Health Affairs (ASD (HA)) and the surgeons general of the U.S. Army, the U.S. Navy, and the U.S. Air Force. Annually, ASD (HA) publishes the rules governing the joint aspects of GME selections. Each surgeon general retains approval authority for the results of their Service s board including assignment of selected applicants from other Services to their Service s teaching programs. (2) The JSGMESB board membership will consist of individuals as prescribed in the Army memorandum of instruction (MOI) to the selection board. Board members will observe the policies/rules established in the MOI approved each year by the Army SG related to Army selections and rules published by the ASD (HA). The board president of the Army portion of the JSGMESB will be the chief of the MC. j. Selection results. TSG is the final review and approval authority for all GME selections. All board proceedings are subject to review by the ASD (HA). HQDA, OTSG, ATTN: DASG PSZ MG, will release the Army GME results of the JSGMESB. k. Standby board. If necessary the Army SG will convene a standby board to fill any vacant GME positions. Information concerning available specialties, training locations, deadline date for receipt of applications, and the date of the board will be published by the HQDA, OTSG, ATTN: DASG PSZ MG. Selection will be consistent with existing procedural guidance. l. Selection review board. MC officers selected for GME at the JSGMESB are conditionally selected contingent upon continued satisfactory performance up to the date of entry into GME. Adverse personnel actions and academic difficulties to include the need for imposition of probation and other negative events represent a significant deviation from this satisfactory level of performance. Individuals at institutions (includes appropriate chain of command at non- GME locations) where the selectee is assigned must report adverse actions or decline in performance to HQDA, OTSG, ATTN: DASG PSZ MG. As outlined in the provisional selection notification, selection will be re-evaluated by a board appointed by TSG. This board may elect to rescind the selection for entry into a GME program. The Chief, MC is the approval authority for such action Due process All trainees in GME must be afforded due process as prescribed by policy issued by TSG and as outlined by the ACGME institutional requirements. These policies will be applied uniformly and fairly to all trainees and faculty in all programs. Due process is an institutional methodology through which a trainee is a appraised of academic, professional, or behavioral issues which adversely impact the training experience, the proposed interventions, and the measures of success or failure which demonstrate that the identified issues have been rectified. The trainee has the right to respond either writing or person via a formal hearing process. Each institution accredited to conduct GME must develop specific written policies and procedures in accordance with the ACGME institutional requirements and TSG policy compatible with local circumstances. The guidance must address documentation, probation, remediation, termination, training extension, resident resignation, resident s rights, appeals, conduct of GME committee hearings, GME selection, and GME reentry Resident supervision and duty hours a. Army facilities conducting GME must provide sufficient oversight to ensure that residents are appropriately supervised. Residents must be supervised by teaching staff in such a way that the residents assume progressively increasing responsibility according to education level, ability, and experience. Each institution accredited to conduct GME must develop specific policies and procedures in accordance with: Residency Review Committee (RRC) and ACGME institutional requirements and compatible with local circumstances; standards on resident supervision established by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO); and supervision policy prescribed by TSG. The guidance must address documentation, privileging of residents, evaluation of residents and AR October

38 attending physicians, monitoring procedures, and the responsibilities of staff, residents, and institutional governing bodies and authorities. b. Army facilities conducting GME must ensure that each training program establishes formal written policies governing resident duty hours that foster resident education and facilitate patient care. Duty hours must be consistent with the institutional and program requirements of the specialties and subspecialties that apply to each program. These formal policies must apply to all institutions to which a resident rotates. Off duty employment is strictly prohibited while on AD in a trainee status (to include civilian sponsored residencies and fellowships) Military unique curriculum Each Army MTF engaged in GME must develop and incorporate military unique curricula (MUC) training into GME programs under policy prescribed by ASD (HA) and TSG. Each training facility must include a standardized MUC as part of GME programs. Policy prescribes minimum requirements for training evaluation, documentation, and reporting. Curricula for all GME programs should include aspects of practice unique to the military, including attendance at C4, standardized specialty immaterial PGY 1 curriculum, and military unique curriculum that is standardized and specialty specific for PGY2 and above that includes operational experiences when available, practical and within resource constraints (for example, readiness exercises and participation in short-term deployments and field training exercises). Completion of MUC requirements must be documented and training evaluated. Training plans should include subject matter outlines with the format for instruction as well as lectures, distance learning, and types of operational experiences (for example, field, deployment). The MUC training plan should be reviewed locally at least annually at the time the training report is prepared for submission. Training progress must be reported annually to HQDA, OTSG, ATTN: DASG PSZ MG prior to 1 September for consolidation and annual reporting to the ASD (HA) by 30 September of the completed training year Institutional requirements As stated in ACGME requirements, the purpose of GME is to provide an organized educational program with guidance and supervision of the resident, facilitating the resident s ethical, professional, and personal development while ensuring safe and appropriate care for patients. Training programs must operate under the authority and control of a sponsoring institution. There must be a written statement of institutional commitment to GME that is supported by the governing authority, the administration, and the teaching staff. Sponsoring institutions must be in substantial compliance with the institutional requirements and must ensure that their ACGME accredited programs are in substantial compliance with the program requirements and the applicable institutional requirements. Failure to comply substantially with the institutional requirements may jeopardize the accreditation of all of its sponsored residency programs Applicable publications Conduct of Army GME programs will conform to provisions described in the following: a. The GME directory (current year, published by the American Medical Association (AMA)). b. AR c. Manual of Hospital Accreditation. d. AR e. AR f. AR g. Applicable directives and regulations pertaining to participants in the HPSP, USUHS, and the ROTC Program. h. Applicable GME directives/policies issued by TSG. i. DODD j. DODI k. DODI l. DOD R Location of programs a. The MTFs authorized to conduct training under this regulation are designated by TSG. These MTFs are listed in the GME directory prepared by the AMA. MTFs so designated will conduct only those FYGME, residency, and fellowship programs that are approved and accredited by the ACGME and by TSG. b. In addition to training available at Army MTFs, TSG will designate specific GME training programs conducted at civilian institutions that are integrated or affiliated with co-located MTFs. In such designated programs, the following policies exist if the student remains on AD status: (1) Sponsored students will be designated as military students for purposes of determining obligation. (2) Sponsored students will be assigned to the affiliated MTF. (3) The MTF will issue a certificate of training. Such certificate must indicate integration with the civilian institution. 24 AR October 2007

39 Section II Administration Correspondence All correspondence concerning GME training programs will be forwarded to HQDA, OTSG, ATTN: DASG PSZ MG, Skyline 6, Room 691, 5109 Leesburg Pike, Falls Church, VA Any correspondence with the AMA, the ACGME, or the American medical specialty boards may be exchanged directly. Information copies must be forwarded to the above address New programs A request to establish a new training program at an Army MTF must follow OTSG procedures as well as local MTF coordination procedures. Requests are considered annually as part of the school year plan and must be approved by T S G. I n f o r m a t i o n o n t h e p o l i c i e s, t i m i n g, a n d r e q u i r e m e n t s m a y b e o b t a i n e d f r o m H Q D A, O T S G, A T T N : DASG PSZ MG Accreditation Accreditation by the ACGME will be sought and maintained for all Army GME programs. Commanders of AMEDD teaching facilities will program, budget, and fund for accreditation surveys and related expenses of their respective programs in support of this objective. Commanders are responsible for ensuring all programming and funding activities can support any request for program increases before submission of any request to increase the size of GME programs in advance of or during the JSGMESB Program change Written approval must be obtained from HQDA, OTSG, ATTN: DASG PSZ MG, before withdrawal, program change, or completion date change for any student in GME. Local MTF commanders do not require GME approval to switch any student in their FYGME specialty program. However, an information copy of the action will be provided to the above office for accounting purposes. Correspondence from the appropriate medical specialty board (if applicable) indicating board requirements must be included with correspondence forwarded for approval to the above office when a trainee completes GME earlier than the date specified in the training agreement Responsibilities of medical education The DME is the institutional official having the authority and the responsibility for oversight and administration of GME programs. Each training hospital must designate a physician to serve as DME. The designated individual should have medical education experience, ideally as a PD, as a minimum prerequisite to serve as DME. The individual so designated, along with the MTF commander and the various service chiefs and PDs, will organize; integrate; and supervise the educational program Institutional Graduate Medical Education Committee a. The ACGME requirements prescribe each training hospital conducting GME must have an organized administrative system to oversee all residency programs. In addition, there must be a designated institutional official who has the authority and the responsibility for the oversight and administration of the GME programs. b. The Graduate Medical Education Committee (GMEC) is an institutional committee that is responsible for monitoring and advising on all aspects of GME. Each training hospital conducting GME will designate a GMEC. The GMEC will be composed of the DME (accountable institutional official), PDs, and at least one resident representative. The MTF commander may designate other persons as members, but a designated member should not be a GMEC member since he/she is the final reviewing authority. All GMEC members, including the resident, are voting members. All members participate in hearings related to adverse action. The GMEC responsibilities will be as prescribed by ACGME, RRCs, and Army requirements Institutional agreement a. All institutions conducting GME are responsible for the quality of GME and must retain authority over trainees. Current institutional agreements governing all GME programs are required. Army MTFs sponsoring GME programs will establish and provide trainees with a written hospital training agreement outlining the terms and conditions of the GME appointment. Institutions must also provide trainees with applicable due process, supervision, duty hours, and other policies pertaining to the training experience. The implementation of the terms and conditions must be monitored by the PDs. PDs must ensure residents adhere to established practices, procedures, and policies of the institution. Hospital agreements must conform to ACGME requirements and Army policy. b. The closure or reduction of a GME program will be in accordance with current DOD guidelines and procedures. Army MTFs must include the following statement in the agreement: When training programs are directed to close, as may occur due to closure of military institutions or downsizing of training positions, placement of residents in other military or civilian programs is given the highest priority in accordance with the Army and resident s best interests. It AR October

40 is preferred that residents complete their training in their current institution if this can be accommodated within the timeframe of the closure. If this is not feasible or not in the best interest of the resident, placement in other military or civilian institutions should be pursued. All residents will be placed so they may complete their GME training with as little disruption as possible. If placed in a civilian institution, military residents will be provided full funding through completion of training. c. The hospital training agreement/student contract signed by each student will be maintained by the MTF during the entire period of training Records, clinical statistics, and medical audits Necessary records and information will be kept in accordance with ACGME requirements and Army policy Certificates On the individual s completion of GME training or transfer to another MTF to continue training, the appropriate MTF will issue a certificate for the period of training received up to that time. Certificates will be signed by the MTF commander and chief of the specialty or training PD in which training was taken. Certificates for transitional year residencies or similar training will be signed by the MTF commander and the DME or transitional director. Blank DA Forms 3492 are controlled forms and will be issued by HQ HQDA, OTSG, ATTN: DASG PSZ MG, DA, to MTFs conducting GME programs. User activities are not required to submit requisitions. GME programs sponsored by Consortia (National Capital Consortium and San Antonio Uniformed Services Health Education Consortium) are authorized to issue approved Consortium certificates instead of the Army specific DA Form 3492 (U.S. Army Medical Department Certificate for Residents, Interns and Fellows). Blank Consortium certificates are distributed through Consortium administrative offices Absence from training Absence for more than four weeks (physically present for training for less than 48 weeks) of training in one training year may result in an extension of training. All absences must be reviewed by the PD for the reason and or impact on the individual educational experience as well as the program. Trainees must be informed of the effects on their educational program and potential of extension of training or ADSO impact. The institutional GMEC is the local approval authority for such absences. If approved by the GMEC, a request for extension of training outlining the nature of such absences will be submitted to HQDA, OTSG, ATTN: DASG PSZ MG, for final approval of adjusted completion date. The request must state a scheduled completion date of GME and a signed statement from the individual indicating their acknowledgment of such extension Plans of instruction The PD will be responsible for the development of a progressive, comprehensive curriculum. This plan must include all elements as stated in the ACGME program requirements for the specialty and MUC Visiting Professorship Program The commander of each MTF having one or more residency or fellowship programs will be authorized to invite distinguished United States professional leaders to the MTF as visiting professors. This Visiting Professorship Program is designed to supplement and to enhance the prestige of the AMEDD GME programs. Commanders of MTFs will program, budget, and fund for the TDY for this training in support of their respective GME programs Professional meetings or courses A commander may authorize trainees to attend meetings in a permissive or regular TDY status only when the training is a necessity or a beneficial part of the GME program. Physicians in the FYGME program will not be granted this authorization. Funds for defraying travel expense and per diem must be funded by the MTF concerned. Section III Forms Evaluation and trainee file a. An evaluation summary report of a trainee s progression and performance is required for each GME participant. All MTFs conducting GME will maintain written evaluation summary reports. The report will be prepared by the residency PD according to guidelines established by the respective ACGME RRC or other accrediting or certifying agencies. Individual programs will establish evaluation mechanisms and procedures in accordance with specialty requirements and as stated in the GME directory. The DA Form 1970 (House Staff Evaluation Report) may be used, but is not mandatory, as an evaluating document. b. Trainee evaluation summary reports provide information required for selection, evaluation, and termination of students. DA Form 67 9 is not to be substituted for this purpose. (1) Trainee evaluations must be performed at least twice annually and a written evaluation summary report must be 26 AR October 2007

41 prepared each time. The first report is an interim report covering the initial portion of the training year. The second report will be prepared at the completion of the training year. (2) A final report that summarizes the entire training experience must also be prepared when the trainee completes training and when a trainee departs training for any other reasons. This final report as well as those used in the application for GME or prepared when a trainee resigns or is terminated from training must adhere to the content and format requirements in Army policy. c. A permanent trainee file is required for each trainee participating in GME. The file must include contracts, rotation and summary evaluations reports, documentation of compliance with MUC requirements, and any other document prescribed by Army policy and the ACGME. d. A copy of all summary reports will be maintained as a part of the permanent file of the hospital GMEC. A copy of this record will be forwarded to the gaining MTF if the trainee is transferred to another MTF for completion of training. A copy may be furnished, with the consent of the student concerned, to requesting civilian institutions. Except for graduation, a copy of all other evaluations will be forwarded to HQDA, OTSG, ATTN: DASG PSZ MG Use of DA Form 67 9 Trainee evaluation summary reports are not to be substituted for the proper use of DA Forms 67 9 and (Officer Evaluation Support Form) as outlined in AR 623 3, appendix H. Section IV Continuing Medical Education for Medical Corps Officers Introduction a. This section provides guidance for administering and operating a continuing medical education (CME) program for MC officers. It also describes standards and criteria needed to plan, develop, and conduct CME programs for physicians in Active Army/RC AMEDD facilities. b. The MEDCOM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) as a sponsor of CME activities. Therefore, all MEDCOM policies and procedures pertaining to CME are in full accordance with ACCME requirements and Federal regulations. As an accredited sponsor, the MEDCOM may award AMA Physician Recognition Award (PRA) Category I credit for activities that are planned and conducted in compliance with the ACCME standards. The MEDCOM mission statement for CME describes the types of activities, target audience, and subject matter that are appropriate for its sponsorship. Entities within the AMEDD that are planning CME activities that are felt to be consistent with the mission statement and who wish to offer CME credit for participation may choose to work with the MEDCOM for sponsorship. Those interested should refer to current policies to ensure compliance with all requirements. MEDCOM will not sponsor any activity that fails to comply with all requirements. c. The CME is defined under existing policy issued by TSG in accordance with principles and direction of the ACCME. Any activity for which credit is requested must meet the definition of CME to award credit. No entity may indicate on any certificate or other document sponsorship by MEDCOM for CME credit unless approved by HQDA, OTSG, ATTN: DASG PSZ M. d. The CME is a separate function from GME. Programs should be planned and produced that address the needs of physicians who are not in residency training. e. Numerous options are available to MC officers for CME participation. These include hospital-based activities, courses provided by other Federal organizations, short courses, and civilian institutions. MC officers are expected to meet licensure standards as prescribed by the state licensing authority, their specialty-specific boards, and participate in CME as part of their professional duties. They must ensure participation is documented to meet applicable credentialing and licensure authorities requirements. f. The MC officers apply for short course training as prescribed by MOI issued by HQDA, OTSG, ATTN: DASG PSZ MC. Table 3 1 outlines the funding sources for all AMEDD personnel to attend short courses. Officers must have at least 1 year of service remaining after completion of the desired training. g. Army personnel must conduct all activities according to the standards of ethics and conduct established by the DOD R and the Army. The ACCME standards do not address all the requirements that Army personnel must meet when accepting support from non-federal sources. However, Army regulations and standards of ethics and conduct must prevail whenever there is conflict between ACCME and Army standards, unless ACCME rules are stricter. Army personnel are strongly encouraged to consult with their servicing ethics counselor prior to accepting any support from a non-federal entity or beginning travel where support from a non-federal entity is anticipated. (1) The Army has strict guidelines that govern the acceptance of support from non-federal sources. A non-federal entity is generally a self-sustaining, non-federal person or organization, established, operated, and controlled by any i n d i v i d u a l s a c t i n g o u t s i d e t h e s c o p e o f a n y o f f i c i a l c a p a c i t y a s o f f i c e r s, e m p l o y e e s, o r a g e n t s o f t h e F e d e r a l Government. (2) Entities planning activities who wish to accept support from non-federal sources must follow guidelines AR October

42 prescribed by Army policy documents and complete all required actions to receive such support. Gifts must be processed in accordance with current regulatory and policy guidance Medical Corps responsibilities a. Commanders, through their CME committees and with guidance from MEDCOM, will plan; manage; and evaluate local CME programs. b. Physicians will maintain records of their participation in CME programs and submit copies of CME certificates to their respective credentials offices for inclusion in their records Criteria a. The CME activities must be sponsored by an accredited organization and be designated as AMA PRA Category I education by that organization in order to award AMA PRA Category I credit to participants. b. The AMA PRA Category I activities can take a variety of forms including lectures, seminars, use of self-study materials, self-assessment programs, and audio-visual or computer based materials as long as they are designated as Category I. c. To qualify as an approved CME program for which AMA PRA Category I credit may be awarded by MEDCOM, each type of program as defined under CME must meet the ACCME and MEDCOM requirements. d. The MEDCOM, as an accredited provider, does not designate activities for AMA PRA Category II credit. Physicians should claim credit for appropriate AMA PRA Category II activities through the AMA Policy and procedures a. Program selection and approval is as follows: (1) Authority to award AMA PRA credit resides with MEDCOM as the accredited sponsor. Commanders of the MEDCOM and its MSCs, through the CME committees in their organizations, will plan and implement jointly sponsored programs with MEDCOM within their facilities in accordance with the ACCME requirements. Institutional officials must complete required documentation for all CME conducted in Army MTFs. The local CME director may approve activities to be jointly sponsored with MEDCOM. The commander will ensure that a complete record is maintained for each activity awarding Category I credit according to paragraph 6 29, above, for 6 years. (2) Course directors for AC/RC AMEDD CME activities attended by physicians from more than one facility must complete and submit a planning document as prescribed by applicable CME guidelines to the MEDCOM CME office for review and approval of the activity for AMA PRA Category I credit. The planning documents must be submitted 45 days prior to the activity start date. These must be reviewed and approved before the activity is conducted. Approval and sponsorship cannot be given retroactively. An after-action report must be submitted following the conclusion of each course. b. Deputy commanders for clinical services or CME director will submit an annual summary report as prescribed by applicable CME guidelines of MEDCOM sponsored CME activities within their commands as of the end of each FY. Negative reports are required. The report will be submitted to HQDA, OTSG, ATTN: DASG PSZ MC. It must arrive no later than 45 days after the completion of each FY. c. Commanders and CME planners must maintain signed letters of agreement for all commercial sponsorship. Further references on CME policy and guidelines are detailed on the MEDCOM CME Web site: army.mil/cmeweb/secured. Section V The Surgeon General s Physician Recognition Award Introduction This section establishes The Surgeon General s Physician Recognition Award (TSG PRA) for outstanding contributions to military medicine; it also provides for administration of the awards. TSG PRA is special in that the award requires command nominations Scope and applicability a. The annual TSG PRA award provides personal recognition by TSG to three physicians who have made significant contributions to military medicine. These awards are intended to increase physician motivation for exceptional job p e r f o r m a n c e. T h e y a r e s e p a r a t e a n d d i s t i n c t f r o m a n y o t h e r a w a r d s t h a t m a y b e g i v e n f o r e x c e p t i o n a l d u t y performance. b. This award program applies to all commands, agencies, installations, activities, and organizations that have AD Army physicians assigned on a full-time basis Eligibility for awards With the exception of officers in the GME program, any AD Army physician in the grade of captain through lieutenant 28 AR October 2007

43 colonel may be nominated for the TSG PRA. An otherwise eligible officer currently in the Army GME program may be nominated for exceptional performance as a military physician before entering GME training. Having once received the award, an individual is ineligible for future nomination. A physician should have at least one year of AD Service remaining at the time of nomination. Exceptions will be made on an individual basis. Generally nominations will be for duty performance for the year immediately preceding nomination deadlines Number and timing of awards Three awards will be given each year, one each for the grades of captain, major, and lieutenant colonel. Nominations must be received no later than 30 August. Recipients will be funded through HQDA, OTSG, ATTN: DASG PSZ MG to receive the award at the JSGMESB Responsibilities for The Surgeon General s Physician Recognition Award a. TSG. TSG is the awarding authority and will exercise staff supervision over the award nomination and selection process. b. Commanders at all levels and consultants to TSG. Commanders at all levels and consultants to TSG will (1) Identify potential recipients and submit nominations accordingly. Staff surgeons at all major and lower nonmedical command headquarters will assist commanders in the nomination process. With concurrence of these commanders, nominations may be submitted by staff surgeons. (2) Publicize the award and its recipient when announced. Within security and privacy act requirements, publicity will emphasize duty performance and contribution to military medicine for which the award was given. c. Corps-specific branch proponency officer (CSBPO) for MC. The CSBPO will fund a CME training opportunity for each recipient based on availability of funds Nomination procedures Commanders, staff surgeons, and consultants to TSG identified in paragraph 6 35b, above, will submit nominations for the TSG PRA directly to Headquarters, MEDCOM, ATTN: MCHO CL C, 2050 Worth Road, Suite 10, Fort Sam Houston, TX Nominations will be made by memorandum as defined by the MEDCOM. A current curriculum vitae (CV) and officer record brief (ORB) should be included with each nomination Selection procedures Nominations for the TSG PRA will be considered by a board appointed by the Chief, MC and coordinated by Headquarters, MEDCOM, MCHO CL C. The board will review nominations, make recommended selections, and forward recommended selections to TSG for approval Continuing medical education opportunity for award recipients a. CME training. Award recipients for the TSG PRA are authorized to take part in a CME training opportunity based on availability of funds. The training, if taken, must be taken during the same FY in which the award is received. b. Funding and orders. The CSBPO will provide a fund citation for issuance of TDY travel orders at the local command level Command and installation awards Commanders and staff surgeons shown in paragraph 6 35b are encouraged to establish a similar PRA at local levels. These awards should provide additional recognition for exceptional duty performance. Local command or installation recipients may also be nominated for the TSG PRA. However, local awards should not be used as the only basis for TSG PRA nominations. Section VI The Surgeon General s Award for Military Academic Excellence (The Lewis Aspey Mologne Award) Introduction This section establishes the TSG Award for Military Academic Excellence. It also provides for administration of the award Scope and applicability a. The annual TSG Award for Military Academic Excellence provides personal recognition to a physician for outstanding leadership in military/academic medicine. This prestigious award is separate and distinct from any other award that may be given to a physician for exceptional duty performance. b. This award applies to all commands, agencies, installations, activities, and organizations that have AD Army physicians assigned on a full-time basis. AR October

44 6 42. Eligibility for award Eligibility for the TSG Award for Military Academic Excellence is as follows: a. Eligibility is limited to MC officers on AD in the grade of colonel. General officers are not eligible. b. Individuals nominated should exhibit a balance between leadership in military medicine and teaching. c. Nominees should have demonstrated academic excellence through (1) Service as residency training PDs. (2) Participation in research as evidenced by scientific publications. (3) Holding office in national or international professional societies Number and timing of awards One award is presented annually. Nominations must be received no later than 15 July of each year. The recipient will be funded through HQDA, OTSG, ATTN: DASG PSZ MC to receive award at the annual JSGMESB Responsibilities for award a. The Surgeon General is the awarding authority and will exercise staff supervision over the award nomination and selection process. b. Commanders, at all levels, and consultant to TSG will (1) Identify potential recipients and submit nominations accordingly. (2) Publicize the award and its recipient when announced. Within security and privacy act requirements, publicity will emphasize duty performance and contribution to military medicine for which the award was given Nomination procedures Commanders and consultants to TSG identified in paragraph 6 44b, above, will submit nominations for the TSG Award for Military Academic Excellence directly to Headquarters, MEDCOM, ATTN: MCHO CL C, 2050 Worth Road, Suite 10, Fort Sam Houston, TX Nominations will be made by memorandum using figure 6 1, below, as a guide. A current CV and ORB should be included with each nomination. 30 AR October 2007

45 Figure 6 1. Format for a nomination for The Surgeon General award memorandum AR October

46 6 46. Selection procedures Nominations for the TSG Award for Military Academic Excellence will be considered by a board appointed by the Chief, MC and coordinated by Headquarters, MECOM, ATTN: MCHO CL C. The board will review nominations, make a recommended selection, and forward the recommended selection to TSG for approval Continuing medical education training available for the award recipient a. Award recipient for the TSG Award for Military Academic Excellence is authorized to take one CME training opportunity based on availability of funds. The CME, if taken, must be taken during the same FY in which the award is received. Application and funding will be in accordance with current FY published policy and procedures and is subject to funding availability. b. The CSBPO will provide a fund citation for issuance of TDY travel orders at the local command level. Chapter 7 Medical Service Corps Policy and Programs Section I General 7 1. Introduction a. This chapter provides MS officers with information relative to education and training opportunities available to them. The MS is a heterogeneous group of officers and WOs with numerous, diverse AOCs. Accordingly, the MS is involved in a widely diversified training program. b. Material presented in this chapter is meant to summarize this variety and, in some cases, amplify policies provided in this and associated training directives. The MS education branch, AHRC, encourages direct telephonic or written inquiries concerning education and training of MS officers Policies The following policies pertaining to education and training apply within the MS: a. Military professional training sequence. The general sequence for military professional training is discussed below. (1) The AMEDD OBLC. Generally, MS officers will attend the OBLC before their first AD assignment. On occasion, some officers will move to their first AD assignment and then attend AMEDD OBLC as a TDY and return. (2) The CCC. MS officers in career status will normally attend the resident AMEDD CCC between their fourth to seventh year of AFCS. Selected officers may apply for and, if selected, attend the CLC3 at Fort Lee, VA, or the Aviation Officer Advanced Course (AOAC) at Fort Rucker, AL. Application for these courses is with the MS education branch, AHRC. (3) The MEL 4 equivalent. Officers are automatically considered for attendance at the resident course when they have attained the grade of major or captain (P) between their tenth and fourteenth years of AFCS. Because of the limited number of seats available for resident attendance, MS officers are encouraged to enroll in the Web based distance learning. To be eligible for the nonresident course, officers must have completed the CCC; be selected or promoted to major; and have between 8 and 18 years of AFCS. Waivers for AFCS may be granted by the Commandant, MEL 4 Equivalent Course. (4) The SSC. All eligible MS officers will be considered for SSC attendance. Eligibility consists of lieutenant colonel or colonel and AFCS between 16 to 25 years. Officers on the SSC (AWC) OML are encouraged to apply for the AWCDEP. b. Utilization tours for training. A tour of duty using skills and knowledge developed by significant training experiences will normally occur immediately following the training. The major exception to this general policy is that utilization tours following the CCC are not required. Officers can request other long-term training immediately following the CCC. c. Methods of assessing needs. All education and training opportunities within the MS are generated by need as assessed by the following methods: (1) Long-course needs are determined through the validated requirements, procurement standards, and recognized requirements. 32 AR October 2007

47 (2) Short-course needs are determined by a series of annual needs assessments using input from the field, MS specialty consultants, and the MS branch, AHRC. d. Precedence of military programs. Military programs through which graduate degrees are awarded take precedence over all similar civilian programs because of the direct applicability of these programs to the AMEDD. Examples of these military programs are listed below. (1) Logistics Executive Development Course/Florida Institute of Technology (LEDC/FIT). (2) U.S Army-Baylor University Graduate Program in Health Care Administration (HCA). (3) Biochemistry/Microbiology Doctoral Programs at USUHS. (4) Military Medical History Master s Program at USUHS. (5) Strategic Intelligence at the Defense Intelligence College. e. Training selections. Long-term training selections are made through a formal board process convened by the Director, OPMD, AHRC, for degree programs and the chief, MC branch for non-degree programs. Attendance at short courses is approved within by the MS program manager, MS branch, AHRC. Funding is based on current published FY policy and procedures. f. Constructive credit. MS officers can apply for constructive credit for military courses under AR 350 1, based on experience and other training. Approval of constructive credit is extremely limited because of opportunities available for MS officers to attend the resident CCC and enroll in the nonresident MEL 4 Equivalent Course. Constructive credit is awarded through a formal board process convened by the commander, AHRC. Section II Training Programs 7 3. Short-course education and training a. A wide variety of training opportunities exists for MS officers in the following five categories: (1) Other Army. These are courses conducted at various Army Service schools to include military training courses such as C4, airborne, air assault, planning, programming, budgeting, and execution (see DA Pam for a complete listing). (2) Other Federal. These are courses sponsored by the U.S. Air Force, the U.S. Navy, the Centers for Disease Control, and other Federal agencies. Examples include: Nuclear Hazards Training Course, Medical Effects of Nuclear Weapons, and Interagency Institute for Federal Health Care Executives (IIFHCE). (3) Civilian institution. These include short courses offered by a variety of private organizations and institutions. (4) The AMEDDC&S functional courses. These provide selected MS officers with specific learning experiences consistent with the MS officer s current or projected assignment (for example, patient administration, medical logistics management, health services human resources manager, and DOD pest management). (5) The PPSCP. These courses are sponsored by the OTSG (annually or biennially) covering a wide variety of AMEDD specialty areas (for example, world wide patient administration symposium, Biennial Medical Entomology Course, Federal Services optometry, and Army medical evacuation). Individuals normally will be given priority if they have not attended a short course in the past year. Funding is based on current published FY policy and procedures. b. Officers must have at least 1 year of service remaining after completion of the desired training. c. With the exception of the CCC, officers are encouraged to meet training needs through correspondence courses. DA Pam provides detailed information concerning availability of courses and application procedures. d. Additional guidance is provided for the following training opportunities not addressed in paragraph 4 9: (1) Battalion/brigade Pre-Command Course (PCC). MS officers selected (by the command designated position list board process) for lieutenant colonel and colonel-level command are required to attend the AMEDD PCC and the brigade/battalion PCC at Fort Leavenworth, KS. Other courses may be required depending on the command. Point of contact for further guidance is MS branch, AHRC. (2) IIFHCE. A two-week course offered in the spring and early fall, the institute presents knowledge and provides a forum on pertinent health care issues within the Federal health care delivery systems. Selection for attendance at this course is made by the chief, MS branch, AHRC. Officers serving in, or on orders to, a MEDCEN or MEDDAC chief of staff or high-level staff position are considered Long-term health education and training A wide variety of long-term training opportunities are available to every MS officer. Funding is based on current published FY policy and procedures. Specific dates for boards or selection panels and application deadlines are announced annually by DA message. Selections for these programs are made on a best-qualified basis. Long-course training includes the following: a. Professional military education (for example, SSC, AWCCSC, CSC). Officers are not required to apply for this Category of training except for AWCCSC. Selection for resident attendance is made by formal selection board process. AR October

48 Eligibility for all these programs is announced by DA message each year. MS officers are encouraged to discuss this significant category of training with their respective career manager. b. Selection and training of MC aviators. Officers are selected for aviation training by a centralized board which is announced by message annually. Officers must meet the following criteria to be eligible for consideration: (1) Have less than 48 months AFCS at the start of flight training. (2) Be eligible for PCS. (3) Be less than 30 years of age at the start of flight training. (4) Meet the medical standards of AR (5) Achieve a minimum score of 90 on the Flight Aptitude Skills Test. c. The LTHET. Numerous opportunities exist for graduate-level training in those disciplines for which the MS has validated requirements. Specific disciplines and deadline dates with supplemental information are announced by an annual DA message released during the second quarter of the FY. Separate messages are released for degree and programs. (1) Application procedures. Officers and WOs must apply in the timeframe noted in the annual messages. In addition to requirements of paragraph 4 4, the following procedures apply: (a) Memoranda of recommendation will not be accepted. Officers may communicate with the president of the board by addressing a memorandum to: President, LTHET Selection Board, ATTN: AHRC OPH MS, 200 Stovall Street, Alexandria, VA Supporting documents may be enclosed. Normally, the memorandum is used to communicate significant errors or omissions in an individual s official military personnel file. (b) Academic program descriptions must adequately describe the requested program and include precise registration and program beginning and ending dates. Federal facilities will determine program lengths and set beginning and ending dates, if known. (c) The GMAT, GRE, or Miller Analogies scores are required with all degree program applications. (d) Officers need not apply to schools before the selection board or panel convenes. Selections will be contingent on gaining admission to a college or university acceptable to DA. Officers may apply to universities if they desire, and may include letters of admission with their applications. (e) Officers assigned to the AMEDDC&S student detachment will be rendered Academic Evaluation Reports under AR (2) Eligibility. In addition to eligibility criteria established in paragraph 4 3, officers (a) The MS officers who intend to apply for LTHET must be graduates of the C3 or CCC. Exceptions to the eligibility criteria are for clinical laboratory officers and blood bank fellows. (b) Who are holding primary AOC 67J and applying for master s-level training must have completed the initial sixyear ADSO incurred as a result of flight training. If applying for doctorate-level training, officers must voluntarily withdraw from the flight program under AR If selected for training, a statement to this effect must be included in the application. (c) Must meet the minimum DA stabilization policy. This is 24-months time-on-station in CONUS or completion of an OCONUS tour under AR unless a waiver is granted. (3) Selection of school. Officers selected by the LTHET Selection Board must gain acceptance to a college or university that is regionally accredited by an appropriate agency and acceptable to DA. Also, consensus must be reached among the officer concerned; the appropriate specialty consultant; and the MS branch as to which institution will be attended. d. Long-term training programs unique to the MS. The following are examples of long-term training programs unique to the MS. Not all programs are offered each year. Funding is based on current published FY policy and procedures. Announcement of programs is made in the training messages released in the 2d quarter of the FY. (1) Pharmacy. A 1-year residency in pharmacy specialties is available to AD pharmacy officers and new officer accessions who qualify for a commission as a pharmacist. An AD officer will not be in competition with a new accession as the ceiling for residency positions has been increased to accommodate this recruiting tool. New accessions will not be offered residencies until after AD officers have been selected. AD officers should refer to the annual message on LTHET to determine eligibility criteria and specialty residencies offered. (2) Clinical Laboratory Officers Course (CLOC). A 1-year course for officers with strong scientific undergraduate backgrounds that will qualify selected officers for classification and assignment as clinical laboratory officers. To apply, officers must meet (a) Academic requirements delineated by the CLOC director, Walter Reed Army Medical Center (WRAMC). (b) DA Pam requirements. (3) Blood Bank Fellowship Program. An eighteen-month master s program at WRAMC for qualified clinical laboratory officers that develops skills and knowledge necessary in operating the Army Blood Bank Program. (4) Three-year podiatric residency. Graduates of civilian podiatry programs may apply for a 3-year podiatry residency offered by the Army immediately following graduation. 34 AR October 2007

49 (5) Social Work Advanced Program in Family Studies. Social Work Advanced Program in Family Studies is a 2- year fellowship at WRAMC that specializes in care and treatment of the family unit. (6) Psychology. Psychology Fellowship in Neuropsychology, Child/Pediatric Psychology, and Health Psychology. (7) Clinical Psychology Internship. Information about this program is in DA Pam (8) Optometry Residency. A two year program that combines a residency in family practice optometry with an M.B.A. The business education provides a strong foundation in management, and the residency provides an opportunity to gain clinical experience and expertise in one or more areas of specialization within family practice optometry. (9) Procurement Officer s Internship. A two-year program to provide the AMEDD with skilled personnel in career program 14 (contracting). (10) Comptroller Internship. A fourteen month program of study that provides future resource managers with conceptual perspectives, practical and analytical tools and management skills. (11) Human Resources Internship. A one-year program to provide a human resources professional with an orientation to corporate and strategic human resources management within the AMEDD. e. Waivers of eligibility criteria. Officers may request waivers of eligibility criteria for various long-term programs. To request waivers, officers must demonstrate full justification of why the criteria do not apply in their situation. R e q u e s t s w i l l b e s u b m i t t e d i n m e m o r a n d u m f o r m a t, a l o n g w i t h t h e i r a p p l i c a t i o n s, t o t h e c h i e f, M S b r a n c h (AHRC OPH MS). f. Warrant officer LTHET. The LTHET message will announce if program starts are available for WOs for bachelor degree completion or master s programs. WOs interested in LTHET should apply in accordance with the LTHET messages released in the second quarter of the FY. g. U.S. Army Medical Materiel Agency (USAMMA) Medical Logistics Management Internship. Selection for this 6- month logistics course is made by a formal selection board. The board selects officers for the following July start and January start. Officers should apply for the course dates that they desire. Selected officers will be slated within the MS branch. Courses will be announced by annual DA message. h. Procurement Officer Course Internship Program. Selection for this 2-year logistics training course is made by a formal selection board, with training starting on or about 1 July. Eligibility requirements and application procedures are as announced in an annual DA message New programs A request to establish a new training program at an Army MTF must follow the procedures outlined in this regulation as well as local MTF coordination procedures. Section III Continuing Health Education Programs 7 6. Continuing health education details for the Medical Service Corps general This section provides guidance to help MS officers meet the requirements for the CHE program. It should also help them obtain and maintain professional credentials Professional organizations a. List. The list below contains a compilation of professional organizations available to MS officers for professional enrichment and credentialing. (1) Administration. (a) American Academy of Medical Administrators. (b) American College of Hospital Administrators. (c) American Management Association. (d) American Medical Records Association. (e) American Public Health Association. (f) Association of Clinic Managers. (g) Healthcare Financial Management Association. (h) American College of Health Care Executives. (i) Society for Human Resource Management. (j) Medical Group Management Association. (2) Audiology. (a) American Speech Language/Hearing Association. (b) Council for Accreditation in Occupational Hearing Conservation. (c) American Academy of Audiology. (d) National Hearing Conservation Association. (3) Behavioral sciences. AR October

50 (a) American Association of Marriage and Family Therapy. (b) American Association of Sex Educators, Counselors, and Therapists (c) American Hospital Association (d) American Psychological Association. (e) National Association of Social Workers. (f) Council on Social Work Education (4) Biological sciences. (a) American Association for Clinical Chemistry. (b) American Association for Immunology. (c) American Association of Advanced Sciences. (d) American Association of Blood Banks. (e) American Chemical Society. (f) American Physiological Society. (g) American Society for Microbiology. (h) American Society for Tropical Medicine and Hygiene. (i) American Society of Clinical Pathologists. (j) American Society of Parasitologists. (k) American Society of Medical Technologists. (l) Society of Forensic Toxicologists. (5) Biomedical maintenance. (a) Certified Biomedical Equipment Technician. (b) Certified Lab Equipment Specialist. (c) Certified Radiology Equipment Specialist. (d) Certified Clinical Engineer. (e) Veterans Administration Certification. (6) Computer sciences. (a) Association for Systems Management. (b) Association of Computer Machinery. (c) Data Processing Management Association. (d) Operations Research Society of America. (7) Entomology. Entomological Society of America. (8) Environmental/sanitary engineering. (a) American Academy of Environmental Engineers. (b) American Academy of Industrial Hygiene. (c) American Academy of Sanitarians, Incorporated. (d) Board of Certified Safety Professionals. (e) Conference of Federal Environmental Engineers. (f) International Hazard Control Manager. (g) National Environmental Health Association. (h) Society of American Military Engineers. (i) American Industrial Hygiene Association. (j) American Conference of Governmental Industrial Hygienists. (9) Health facilities design/management. National Council of Architects Registration Board. (10) Logistics. (a) Certified Professional in Health Information and Management Systems. (b) Certified healthcare executive. (c) Certified professional contracts manager. (d) Certified Federal contract manager. (e) National Society of Professional Engineers. (f) Certified healthcare environmental services professional. (g) Certified materials resource professional. (h) Defense Acquisition Certification - Level III. (11) Optometry. (a) American Optometric Association. (b) American Academy of Optometry. (c) Armed Forces Optometric Society. 36 AR October 2007

51 (12) Pharmacy. (a) American Pharmaceutical Association. (b) American Society of Hospital Pharmacists. (13) Health physics. (a) American Board of Health Physics. (b) American Board of Radiology. (c) American Board of Medical Physics. (14) Podiatry. American Board of Podiatric Surgery. b. MS officer responsibilities. MS officers will (1) Communicate directly with professional accrediting organizations. (2) Determine if specific training experiences, attended or scheduled, meet the requirements of the organization where credentialing is maintained. (3) Maintain records of their attendance of CHE experiences. Chapter 8 Army Nurse Corps Policy and Programs Section I General 8 1. Introduction This chapter provides information concerning education and training opportunities available to AN officers. Professional military nursing includes the practice areas of clinical specialization, education, research, and nursing administration. AN officers have a responsibility to enhance their knowledge and skills as professional military officers and as professional nurses. The information presented in this chapter summarizes the variety of educational programs available and amplifies policies provided in this and associated training directives. AN branch, AHRC (AHRC OPH AN) and the nursing education branch (MCCS HEN), Department of Health Education and Training, Academy of Health Sciences, encourages active participation by officers in planning this aspect of their careers Policies a. The general sequence of professional military education is as follows: (1) AMEDD OBLC. All AN officers will attend the AMEDD OBLC before their first AD assignment. RC AN officers will attend OBLC (RC course) within 3 years of commissioning. (2) AMEDD CCC. Due course AN officers will generally attend the resident CCC between their fourth and seventh year of AFCS. Officers who do not enter the ANC as second lieutenants may need to attend CCC earlier than the four year mark. These non-due Course officers should contact their chief nurse and or AN branch manager to discuss an appropriate time line from attendance at CCC. Officers must hold the grade of captain or first lieutenant (P) to enroll in the non-resident Phase I AMEDD CCC. Phase I completion is necessary for enrollment in Phase II. RC AN officers are encouraged to attend non-resident CCC. (3) MEL 4 Equivalent Course. Due course AN officers who have completed CCC, attained the grade of major or captain (P), and are serving between their tenth and fourteenth year of AFCS will be considered for resident attendance at the MEL 4 equivalent course. All eligible officers are encouraged to enroll in either the nonresident correspondence course or the USAR course. To be eligible for the nonresident course, officers must be CCC graduates and have less than 18 years of AFCS. However, non-due course officers may attend before their eighth year of AFCS. Waivers can be granted by the Commandant, MEL 4 Equivalent Course, to a minimum of 7 years and a maximum of 24 years. Officers who complete the nonresident course and desire not to be considered for the resident course must submit their request in writing to AHRC, ATTN: AHRC OPH AN before 1 May each year. (4) SSC. All eligible AN officers will be considered for SSC attendance. Eligibility consists of grade of lieutenant colonel or colonel and AFCS between 15 to 22 years. Officers on the SSC (AWC) OML are encouraged to apply for the AWCDEP. b. Normally, a tour of duty using skills and knowledge developed by the training experience will occur immediately following military education. However, officers can seek other long-term training needs immediately following the AOAC Educational opportunities a. All education and training opportunities within the AN Corps are generated by need as assessed by the following methods: (1) Long-course needs are determined through validated requirements. AR October

52 (2) Short-course needs are determined by a series of annual or biennial need assessments using input from the field, AN nursing specialty consultants, AMEDDC&S, and AHRC (AHRC OPH AN). b. Most long-course selections are made through formal selection processes. Attendance at a short course is approved within MCCS HEN or AHRC OPH AN, depending on the course, or by the RC AN officer s chain of command. c. Funding for education and training opportunities are based on current published FY policy and procedures Short-course education and training Educational opportunities exist for AN officers in the following categories: a. Other Army. These are courses conducted at various Army Service schools, to include military training courses such as the medical management of chemical casualties and the medical defense against biological warfare and infectious diseases courses. b. Other Federal. These include courses sponsored by the U.S. Air Force, the U.S. Navy, the Centers for Disease Control, and other Federal agencies such as the Nuclear Hazards Training Course, medical effects of nuclear weapons, and interagency institute for federal health care executives. c. Civilian institution. These are short courses offered by a variety of private organizations and institutions. d. AMEDDC&S functional courses. These provide selected AN officers specific learning experiences consistent with the AN officer s current or projected assignment. These courses include, but are not limited to, professional leadership development/executive skills courses such as the Advanced Nurse Leadership Course and Preventive Medicine Program Management. e. PPSCP. The PPSCP is a series of courses sponsored by TSG (annually or biennially) that includes the strategic issues symposium, clinical issues in military nursing practice, Advanced Anesthesia Nursing Practice Short Course, TOE Field Nursing/Field Medicine Short Course, C.J. Reddy Leadership Short Course, Hospital Educators Short Course, and Phyllis J. Verhonick Research Short Course. Additionally, AN officers may attend several conferences sponsored by other Corps (for example, Behavioral Science Conference) Army Nurse Corps specialized nursing courses The AN specialized nursing courses prepare nurses to function at entry levels within a nursing specialty area. Graduates of these courses serve as primary personnel resources to meet requirements for nursing specialty areas. On completion of these courses, utilization tours are based on the needs of the Corps. Primary AOCs or skill identifiers are assigned following successful completion of the course. Specialized nursing courses are discussed below. a. Specialized nursing courses are 16 weeks in length and include the following: (1) Critical care nursing. (2) Psychiatric mental health nursing. (3) Obstetrics/gynecology nursing. (4) Perioperative nursing. (5) Principles of military preventive medicine. (6) Emergency nursing b. The AC personnel who complete courses indicated in paragraph 8 5a(1) through 8 5a(5), above, incur a 1-year Service obligation Long-term health education and training Selection for attendance in a graduate education program is based on current and projected needs of the AN Corps and validated requirements. Funding is based on current FY policy and procedures. The following procedures apply: a. At the application suspense date, the applicant must be an officer on the ADL. b. The Army Nurse Corps (Active Army) Life Cycle Model indicates that the most appropriate time for officers to attend LTHET is at the company and field grade level between years 6 and 16. Officers must have been on AD a minimum of two years prior to applying for graduate education programs. Officers with more than 16 years of AFS are not precluded from LHET programs, but they must be able to complete the ADSO prior to reaching 20 years of Service or be Active Army. c. All applicants must be graduates of AMEDD CCC, on orders for same, or currently enrolled with a definite completion date before the LTHET start date. d. All AN officers selected for master s-level education must gain acceptance to an accredited program to obtain a master s degree in nursing. Community health nurses may complete a master of public health program. Other nonnursing degrees will be considered on an individual basis. Officers selected for doctoral-level training must gain acceptance to a college or university acceptable to AN branch, AHRC. The doctoral training program must prepare the officer to perform in a validated position. e. The U.S. Army Graduate Program in Anesthesia Nursing is a LTHET program sponsored by the Army in affiliation with a graduate school of nursing. Graduates receive a master s degree. The program consists of 38 AR October 2007

53 (1) A 51-week didactic Phase I conducted at AMEDDC&S. (2) A 73-week clinical/didactic Phase II conducted at specific Army MTFs Application procedures Officers of AN apply for LTHET by completing the application found on the AN branch of the AHRC Web site. Application guidelines and deadline dates are updated annually by AN branch, AHRC, and are available on line. Specialty and numbered course dates and application deadlines are published annually by AN branch, AHRC, and are also available on line. Officers interested in applying for PPSCP courses are encouraged to contact the nursing education branch, DHET, AMEDD Center and School, for application information. Funding is based on current FY policy and procedures. An annual listing of PPSCP courses is provided on the DHET Web page. RC AN officers will follow the instructions for application published by their respective component headquarters. Section II Continuing Health Education Details for the Army Nurse Corps 8 8. General a. This section (1) Provides guidance for administration and operation of the Army Nurse Corps Continuing Health Education Program (ANC CHEP). (2) Provides guidelines for the quarterly CHE report (see para 8 13). b. The ANC CHEP serves to approve and monitor the provision of quality, relevant, and timely CE activities in accordance with the American Nurses Credentialing Center (ANCC) Commission on Accreditation standards and criteria. (The ANCC is a subsidiary of the American Nurses Association (ANA).) The program ensures that a broad range of CE experiences are made available, providing the opportunity for nurses assigned and practicing in various roles to learn and advance in professional nursing practice; administration; and management. c. The ANC CHEP guidelines describe specific policy and procedures for the program as well as criteria for approval of CE activities. This manual is revised as needed. Current ANC CHEP Guidelines can be obtained from the AMEDDC&S Web page or the Army Nurse Corps Web page. It can also be obtained from the nursing education branch at: Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HEN, Fort Sam Houston, TX d. The ANC CHEP assists AN officers and civilian nurses in accumulating professionally-approved CE credit (contact hours). The program may assist nurses in meeting CE requirements for professional certification and/or relicensure in those states in which such evidence is required by law. e. While ANC CHEP provides a cost-effective method for obtaining professionally approved CHs, participation in this program is voluntary. MTFs and other medical units may choose to obtain approval for their nursing CE activities from state or specialty organizations in lieu of ANC CHEP approval. f. T h e n u r s i n g e d u c a t i o n b r a n c h, D H E T, A c a d e m y o f H e a l t h S c i e n c e s, i s t h e a c c r e d i t e d a p p r o v a l u n i t f o r ANC CHEP. g. The ANC CHEP approval unit uses criteria provided by the ANCC Commission on Accreditation to review and approve the following three categories of CE: (1) Provider-directed activity. An educational activity that involves participant attendance. The pace of the activity is determined by the provider who plans and schedules the activity. When approved, the activity is current for a 2-year period. (2) Learner-directed activity. An educational activity designed for completion by learners, independently, at the learner s own pace and time. When approved, the activity is current for a 2-year period. (3) Approved provider. An individual or institution approved for a three year period to plan, implement, and evaluate CE activities for their respective facility. Approval is based on an in-depth analysis of the quality of several CE activities already presented as well as the policies, procedures, and resources available to maintain a quality educational program. h. The following terms are unique to ANC CHEP: (1) Accreditation. The process by which the ANCC determines that the ANC CHEP Board has the capacity to approve quality CE over an extended period of time. (2) ANC CHEP approver unit. The ANs administrative body, responsible for coordinating all aspects of the CE approval process. This body approves provider-directed activities, learner-directed activities, and approved providers from its constituency and has a six-year accreditation by the ANCC, which falls under the ANA. (3) ANC CHEP approved provider. The MTF or medical unit administrative body responsible for coordinating all aspects of the nursing CE activities sponsored by the provider at the local MTF level. The approved provider reviews and awards CHs for CE activities as developed and implemented (provided) at and for that specific MTF. (4) ANC CHEP monitor. The AN officer who has overall responsibility for ANC CHEP. (5) CE. Consists of planned learning activities intended to build upon the educational and experiential bases of the AR October

54 professional nurse for the enhancement of practice, education, administration, research, or theory development to the end of improving the health of the public. (6) Constituent. Those whom ANC CHEP serves. For ANC CHEP, constituents include all DOD AN officers, as well as civilian, contract and other Federal nurses working within Army MTFs or other medical units. (7) CH. A unit of measurement that describes the number of hours of an approved, organized educational experience based on current ANCC and ANC CHEP Guidelines. One contact hour is a block of 60 minutes. ANC CHEP does not use the term continuing education unit (CEU). (8) Provider. An individual, institution, organization, or agency responsible to develop, implement, evaluate, document, budget, and maintain quality assurance for CE activities Army Nurse Corps Continuing Education Program responsibilities a. The Chief, AN (1) Acts as agent of the ANC CHEP program. (2) Is the official sponsor of the ANC CHEP program. (3) Takes part in monitoring the ANC CHEP program to ensure its overall quality. This responsibility is delegated to the chief, nursing education branch, DHET, Academy of Health Sciences. b. Chief nurses and or nursing/hospital educators are responsible for planning and managing CE activities. Each local unit will manage nursing CE activities to include record keeping and reporting according to established policies and procedures of their ANC CHEP, Federal, or state nursing organization. c. AN officers (1) Are expected to obtain 20 CHs of CE per year. This may be accomplished through ANC CHEP approved activities, or those approved by state or specialty nursing organizations. (2) Will maintain records of their participation in CE activities, according to local policy Army Nurse Corps Continuing Health Education Program policy and procedures a. A qualified AN officer assigned to Nursing Education Branch, DHET, will monitor all ANC CHEP activities. The officer will direct the activities of the ANC CHEP Review and Appeal Boards. b. The ANC CHEP Review Board will approve the award of ANCC-endorsed CE CHs. The criteria outlined in the ANC CHEP guidelines will be applied. c. Applications for CE CHs not meeting the criteria will be returned to the sponsors unapproved. Suggestions to help the sponsor meet those criteria will be included. Sponsors may appeal the decision of the ANC CHEP Review Board to the ANC CHEP Appeal Board, which will be convened as needed. ANC CHEP Review and Appeal Boards are described in paragraphs 8 11 and 8 12, respectively. d. Applications for CE CHs should be forwarded via to chief, nursing education branch, at least 30 days before the time the CE activity is to be presented. Guidelines for application are delineated in the ANC CHEP Guidelines. e. The ANC CHEP review board will review the application, approve the application for the proper number of CHs, and notify the constituent of the review board s decision. f. A copy of the complete application to include the approval letter will be maintained at the nursing education branch for five years. g. For renewal of a previous application, a complete new application must be submitted with the appropriately updated information. h. A CE activity co-sponsored with another professional group in the organization must demonstrate the participation of a professional nurse in the planning. The nursing aspect of the topic must be evident in the content outline. i. The original, approved CE activities may be used by other AMEDD organizations within the specific two approval period. Conditions of the presentation must duplicate those of the original site. The original sponsor of the CE activity determines the appropriateness of satelliting the activity to another organization Army Nurse Corps Continuing Health Education Program Review Board The ANC CHEP Review Board will meet quarterly and as needed. The ANC CHEP monitor will convene the board meetings. The ANC CHEP review board consists of a. Chairperson. The chief, nursing education branch/an CHEP monitor. b. Subject matter experts. Ten to 20 AN officers assigned in the San Antonio, TX, area who are experts on the content of the subjects to be reviewed Army Nurse Corps Continuing Health Education Program Appeal Board The ANC CHEP Appeal Board will meet as required. The ANC CHEP monitor will convene the board. The ANC CHEP Appeal Board will consist of a. Nursing education consultant, chairperson. 40 AR October 2007

55 b. Senior nursing executive officers/consultants, minimum of two Reports a. A Quarterly summary of all ANC CHEP CE activities will be submitted not later than 30 days after the end of each quarter through the MTF chief nurse to the nursing education branch. The report will be prepared in the format indicated in the most current ANC CHEP Manual. In addition, one packet, which has been awarded CHs, must be submitted to be reviewed by the ANC CHEP Review Board. b. The End-of-the-Calendar-Year Report is a summary of each Approved Provider s annual CE activities and is due to the ANC CHEP approver unit by 31 January each year. Chapter 9 Army Medical Specialist Corps Policy and Programs Section I Introduction 9 1. General This chapter provides occupational therapists (OTs), physical therapists (PTs), registered dietitians (RDs), and physician assistants (PAs) of the SP Corps information concerning education and training opportunities available to them. SP officers have a responsibility to enhance their knowledge and skills as professional military officers and as medical professionals. The SP Corps chief encourages participation by officers in planning this aspect of their careers Policies a. Officers of SP will obtain advanced professional degrees, complete progressive military schooling, actively take part in CHE, and maintain the appropriate credentials and clinical privileges required of their assignment. AR addresses issues pertaining to credentials and the privileging process. b. On completion of long-term professional education; advanced military training; or TWI, officers will be assigned a utilization tour. Assignment will be in a position with a validated requirement for the recently acquired skills Military training The general sequence for military professional training is as follows: a. AMEDD OBLC. Before their first AD assignment, all SP officers should attend the AMEDD OBLC. RC officers will attend OBLC within 3 years of commissioning. b. CCC. AC SP officers will enroll in the correspondence phase and then attend the resident phase of CCC between their fourth and seventh year of AFCS. RC SP officers are encouraged to attend CCC before entering the promotion zone to major. c. MEL 4 Equivalent Course. All SP officers are expected to complete MEL 4 Equivalent Course before entering the promotion zone to lieutenant colonel. All eligible officers will be considered for resident MEL 4 equivalent training unless the officer has requested in writing not to be considered. All eligible officers are encouraged to complete the course either by nonresident instruction (NRI) or through a USAR unit because of limited quotas in the resident course. d. SSC. All eligible SP officers will be considered for attendance at SSC on selection to lieutenant colonel and attaining 16 years of AFCS unless the officer has requested in writing not to be considered. Eligible officers are encouraged to apply for the AWCDEP if afforded the opportunity. Selection for the AWCDEP is on a competitive basis. Section II Training Programs 9 4. Entry-level professional education a. Military courses through which professional/graduate degrees are awarded take precedence over all similar civilian training because of the direct applicability of these courses to the AMEDD. Examples of these military courses are (1) Occupational therapy internship (field work experience). (2) U.S. Army-Baylor University Doctoral Program in Physical Therapy. (3) Military Dietetic Internship/Masters Degree Program. (4) Interservice PA Program. b. These military courses will be established in designated Army facilities as directed by TSG. AR October

56 c. Program of instruction (POI) for these courses will be approved by TSG and accredited by one of the following accrediting agencies as appropriate: (1) American Occupational Therapy Association (AOTA). (2) American Physical Therapy Association (APTA). (3) Commission on Accreditation for Dietetics Education of the American Dietetic Association. (4) Accreditation Review Commission on Education for the Physician Assistant (ARC PA). d. Individuals selected for training as PTs, OTs, and RDs will be graduates of colleges and universities acceptable to TSG and will be qualified for commission in the USAR. Enlisted, WO, and commissioned officers selected for training as PAs will meet the academic and personnel criteria outlined in AR Enlisted and WO graduates of the Interservice Physician Assistant Program (IPAP) will be eligible for a commission into the USAR as AMSC officers upon graduation from Phase II training. Commissioned officers selected for PA training will be conditionally reappointed as AMSC officers upon arrival at the program and will be granted constructive service credit calculated in accordance with DODI , paragraph Enlisted personnel selected for training as PAs will meet the academic and personnel criteria outlined in AR and the FY update. Upon successful completion of the program, they will be eligible for a Active Army commission in the AMSC and will be awarded the AOC of 65D as prescribed by AR e. Graduates of courses listed above must complete the applicable registration, certification, or licensure examination at the earliest possible date following graduation. Individuals who do not attain certification or licensure will be restricted in their duties as per AR or not be permitted to continue on AD beyond the initial tour and/or obligation for training. f. Officers selected for the U.S. Army OT Internship Program, who are required to pay tuition and fees associated with the required fieldwork experience as earned credit toward the OT degree at the entry level, may apply for funding under the LTHET program. Funding will be in accordance with published FY policy and procedures. g. The Professional Education and Training Committee (PETC) or GMEC of the training MTF provides general supervision, official support functions, and all professional mentorship, to include student probation and termination action, of the occupational therapy internship programs. (1) Probation. Student probation will be monitored by the PETC/GMEC. Probation may be based on any of the following: (a) Failure to meet academic or technical performance standards or objectives of the training program. (b) Lack of application to include, but not limited to, unexcused absences; tardiness; and/or failure to perform clinical duties in a timely or adequate fashion. (c) Conduct considered unprofessional by the PD that directly affects the practice of medicine or the course of training. (d) Failure to meet professional or administrative responsibilities such as those prescribing weight, physical fitness, licensure, or other requirements. (e) Any incident of gross negligence or willful misconduct including a violation of the Uniform Code of Military Justice (UCMJ). (2) Request for probation/termination. Procedures for processing requests for probation and termination will be determined by the PETC/GMEC. Termination may occur if a student on probationary status fails to correct identified deficiencies during a specified time. This action is the responsibility of the PETC/GMEC, which will ensure that due process, to include the opportunity for student appeal, is strictly enforced. The director of the training program will notify the appropriate professional organization of the termination. Procedures for release from AD are outlined in AMEDDC&S and FSH Regulation and in AR The Commander, AMEDDC&S, will establish policies governing processing requests for probation and termination. h. Probation or termination procedures for students taking part in the U.S. Army-Baylor Program in physical therapy will be consistent with standards established by Baylor University and the AMEDDC&S. The Commander, AMED- DC&S, will establish policies governing processing requests for probation and termination. i. Probation or termination procedures for students taking part in the Military Dietetic Internship/Master s Degree Program will be consistent with the standards established by the affiliating university and the AMEDDC&S. The Commander, AMEDDC&S, will establish policies governing processing requests for probation and termination. j. Probation, extension, or termination procedures for students taking part in the IPAP will be consistent with the Student Evaluation Plan, AMEDDC&S and FSH Regulation , contractual standards of the affiliating university and, in the case of Phase II students, the Phase II Policies and Procedures Manual. The Commander, AMEDDC&S will establish policies governing processing requests for probation and termination U.S. Army-Baylor University Graduate Program in health care administration Officers applying to this program must obtain an academic evaluation and acceptance to the program prior to submitting their application for training for consideration by the SP LTHET selection board. If required, prerequisite 42 AR October 2007

57 courses must be completed prior to attendance. In addition, officers must have completed CCC prior to starting this program Long-term health education and training a. Army SP officers may apply for LTHET at civilian institutions at the doctoral or master s level. LTHET programs may include specialization in a professional area, education, basic sciences, public health, administration, or management under current AMEDD validated requirements. Research, including thesis or dissertation, may be required. The normal TIS on entry into any LTHET is between 5 and 13 years AFCS. Applicants must be able to complete the ADSO for training prior to their mandatory retirement date. Application procedures are announced annually by worldwide message. SP Corps officers are encouraged to select training programs for which they will qualify for in-state tuition. Budgetary restrictions will determine funding at a full or partial basis. Funding will be in accordance with published FY policy and procedures. Selection is by board procedure. b. During the period of training, the officer is assigned to the student detachment, AMEDDC&S. The SP program manager, DHET, AMEDDC&S, will manage CTP funding for TDY expenses incurred due to travel associated with degree requirements, specialty boards, and CHE/CME. Approval is subject to the endorsement of the officer s respective assistant Corps chiefs, SP and to the availability of funds. c. Requests for extensions for training are not normally approved. Extenuating circumstances for extensions for training will be considered on a case-by-case basis. The officer will contact the appropriate assistant Corps chief to discuss the circumstances leading to the need to extend training. A formal request will be forwarded through the assistant Corps chief, AHRC, SP branch, to the chief, SP Corps for approval. If approved, the SP program manager, DHET, AMEDDC&S, will verify the availability of additional LTHET funding to support the extension and forward the approved extension to the SP branch AHRC. d. DA Form (Civilian Institution Academic Evaluation Report) will be submitted at the completion of each AY to the Commander, student detachment, AMEDDC&S. Officers are encouraged to contact AHRC, SP branch for guidance on completing the content for the AER Specialty training Advanced specialty training for OTs (65A), PTs (65B) and PAs (65D) in selected specialties will be established at designated MTFs as directed by TSG or at civilian medical centers. Applications for specialty training are considered by the SP LTHET Selection Board on a competitive basis. Officers are assigned to the local MTF during the period of training. Expenses associated with specialty training, such as students CHE, will be funded by the local MTF. a. Current POIs. (1) OTs. Specialty Training in Ergonomics at U.S. Army Center for Health Promotion and Preventive Medicine (USACHPPM)USACHPPM, Aberdeen Proving Ground, MD. Program length is 12 months. (2) PTs. (a) Residency in sports physical therapy leading to a Doctor of Science degree. Keller Army Community Hospital, West Point, NY. Program length is 18 months. (b) Residency in orthopedics physical therapy leading to a Doctor of Science degree. Brooke Army Medical Center, Fort Sam Houston, TX. Program length is 18 months. (c) Specialty training in ergonomics leading to a master s degree in Public Health through USUHS and a one-year residency at USACHPPM, Aberdeen Proving Ground, MD. Program length is 24 months. (3) PAs. (a) Cardiovascular perfusion. WRAMC, Washington, D.C. Program length is 18 months. (b) Emergency medicine. Brooke Army Medical Center, Fort Sam Houston, TX; Madigan Army Medical Center, Tacoma, WA, and Darnell Army Community Hospital, Fort Hood, TX. Program length is 1 year. (c) Orthopedics. Brooke Army Medical Center, Fort Sam Houston, TX; Womack Army Medical Center, Fort Bragg, NC, and Madigan Army Medical Center, Tacoma, WA. Program length is 1 year. b. Training spaces. Spaces for advanced specialty training will be determined by TSG with advisement from the assistant Corps chiefs and based upon the training capabilities of each MTF and requirements of the Army. c. Withdrawal, probation, and termination of officers in specialty training. (1) When a student wishes to voluntarily withdraw from training at a military institution, the student must submit a written request through the PD and the Education Committee. The request must contain an effective date of withdrawal and a statement from the training program recommending approval/disapproval of the request. A final evaluation report should be provided to SP branch, AHRC, no later than 15 days after the effective date of withdrawal. The request for withdrawal will be forwarded through command channels to the Chief, SP, for final action. If student is assigned to the student detachment, AMEDDC&S, a copy of the approved withdrawal will be forwarded to the SP branch, AHRC, SP program manager, DHET, AMEDDC&S, and to the unit of assignment. (2) When a student wishes to voluntarily withdraw from training at a civilian institution, the student must submit a request in writing through the civilian PD, the appropriate SP consultant, to the Chief, SP for final action. Notification AR October

58 of withdrawal will be provided to the SP branch, AHRC, SP program manager, DHET, and Commander, AMEDD student detachment. d. Probation and termination. (1) Military. Cause: A student may be placed on probation by the commander for any unsatisfactory performance which includes, but is not limited to, the following: (a) Failure to meet academic or technical performance standards or objectives of the program. (b) Unprofessional conduct, which includes 1. Any act or omission constituting misconduct or moral or professional dereliction. Depending on the severity of the conduct, administrative separation, or termination of training may be more appropriate than probation. 2. Any act or omission which is inconsistent with the safe, orderly, and competent practice of veterinary medicine. (c) Inappropriate personal conduct which disrupts the academic atmosphere, adversely affects animal care, or casts doubt upon a student s future value to the SP. (d) Lack of motivation and/or application. (2) Civilian. (a) Cause. A student may be placed on probation under the circumstances of paragraph 9 7c(1), above. A student placed on probation under the policies of a civilian university will also be considered for probation. (b) Procedures. Students attending civilian institutions will notify SP branch, AHRC, and the Commander, AMEDD student detachment, immediately if placed on probation by their institution. SP branch, in consultation with the appropriate consultant, and chief, SP, as necessary, will recommend appropriate actions to the student detachment. Notification procedures of paragraph 9 7c(3), below, will apply. Non-academic probation requests will be considered in accordance with procedures established by the student detachment in consultation with SP branch, AHRC, and chief, SP. (3) Requests for probation/termination. (a) Probationary procedures will be established by the PDs at the military programs. The facility will ensure that the student receives due process during the probationary and/or termination proceedings. If a student is placed on probation, the student will be provided notification in writing which will include, at the minimum 1. The reason for probation. 2. Suggestive corrective actions for improvement. 3. The duration of the probation. (b) During the probationary period, the student will be given appropriate opportunity to improve performance to a satisfactory level. The probationary period may be extended. During any period of probation, a student may be processed for immediate termination based on matters other than those upon which the probation was based. (c) The probationary status will end when the student has improved to a satisfactory level as determined by the education committee, has voluntarily withdrawn, or has been terminated from training. (d) If termination is desired, the PD will submit a written recommendation for termination with supporting documentation to the education committee and furnish a copy to the student. The education committee will consider the termination request and determine whether to recommend termination to the commander. (e) The commander will provide the student written notification of his decision within 5 working days. If the commander s decision is to continue the student in training, an information copy of the proceedings will be forwarded through channels to the Chief, SP. (f) If the commander s decision is termination of training, the student will be given 5 working days to submit a statement of appeal to the commander and/or request a personal appearance. The student may not be accompanied by counsel during personal appearance. (g) The commander will consider whether action, such as initiation of elimination action, is appropriate under the circumstances of the case. The commander will maintain a record of student notification. (h) An appropriate evaluation report will be submitted on any officer terminated from training. (i) All documents pertaining to any relief decision will be forwarded to the Chief, SP. e. Extensions of training. (1) The Education Committee will determine by a majority vote whether a student s training should be extended or be terminated based on absence from the program for more than 30 training days in any AY. The committee s recommendation will be forwarded to the commander for his final action. (2) If the decision is for extension, then the commander will notify the student in writing of the extension and specify its duration. (3) If the decision is for termination, the instructions in 9 7c, above, apply. f. Certificate of Completion of Training. Upon successful completion of specialty training, the MTF commander will issue a certificate, or its equivalent, for the period of training. The certificates are to be signed by the MTF commander and the PD. g. Evaluation and grading reports. PDs will develop a grading report that will facilitate the evaluation of the student s medical proficiency and personal attributes. A copy of the evaluation is maintained in the student s folder. At 44 AR October 2007

59 the conclusion of training, the numerical grades and evaluation forms will be forwarded to the appropriate specialty consultant. h. AER. Upon completing of training, an AER must be completed in accordance with AR Section III Continuing Health or Medical Education for Specialists Corps Officers 9 8. Introduction This section provides guidance for administration, operation, and approval of the CHE/CME program for SP officers. a. Minimum requirements. Army Medical SP officers are expected to maintain and extend their clinical proficiency through continued CHE and CME as a condition of maintaining clinical credentials and privileges. Officers must also meet the CHE requirements of their national or state professional organization in order to be registered, licensed, or certified. It is recommended that OTs, PTs, and RDs obtain at least 25 CHs of CHE annually. Army PAs must obtain at least 50 CHs of CME annually. Funding authorities for CHE/CME expenses are outlined in table 3 1. b. Professional organizations requirements (1) Army OTs must be licensed in a state offering licensure in occupational therapy. CHE requirements for licensure renewal are established by each state licensing agency. (2) Army PTs must be licensed in 1 of the 50 states. CHE requirements for licensure renewal are established by each state licensing agency. (3) Army dietitians must be registered by the American Dietetic Association. Examination for registration at the national level is required for initial registration; CHE is required for continued registration. Army dietitians must obtain and maintain a state license from a state which offers licensure. (4) Army PAs must obtain and maintain National Commission on Certification of Physician Assistants (NCCPA) certification through re-registration of a minimum of 100 CHE hours each 2-year period and re-certification every 6 years. c. CHE/CME credit approval. (1) The PTs and OTs will seek CHE credit approval based upon the criteria established by the professional organizations within the state in which the therapist is licensed. (2) Dietitians will communicate directly with the ADA for approval of CHE credit to meet requirements for continued registration. (3) The PAs will seek approval for CME credit through the American Academy of Physician Assistants (AAPA). PAs may record their CME credit through AAPA or directly with NCCPA. Only those credits recorded by these agencies will be recognized for certification or re-registration. AAPA recognizes CME credit pre-approved by the American Medical Association, AAPA, American Association of Physician Assistants (American Academy of Physician Assistant), ACCME, American Osteopathic Association (AOA), or American Academy of Family Practice (AAFP). d. Coordinators of programs granting CHE/CME. Course coordinators must contact the appropriate approving agency to arrange for the award of CHE/CME credit. They should also issue a certificate or statement announcing the number of approved hours to be awarded to the attendees of the course. e. SP officers. Individual SP officers will (1) Advise their commander of their CHE requirements for licensure and credentialing purposes. (2) Maintain records of their participation in CHE programs and, if required, submit the summary to the credit approving authority Professional Postgraduate Short Course training a. The PPSCP courses are designed to satisfy the immediate mission requirement of the SP and the AMEDD. Courses are developed to satisfy specific short-term needs and emerging trends in the AMEDD. Course attendance will be determined by the assistant Corps chiefs based on current training requirements and on the availability of funding. Funding will be in accordance with published FY policy and procedures. Individuals normally will be given priority if they (1) Have an immediate need for the training. (2) Have not attended a short course in the past year. (3) Have been out of basic professional or graduate school at least 1 year. b. Eligibility for attendance includes at least 1 year of ADSO remaining on completion of the course, no pending unfavorable personnel actions, and compliance with AR Officers apply for short course training by submitting DA Form 3838 to the SP course project officer 60 days prior to the start of the course. AR October

60 Section IV The Surgeon General s Physician Assistant Recognition Award Program Introduction The annual The Surgeon General s Physician Assistant Recognition Award (TSG PARA) award provides personal recognition by TSG to a PA who has made a significant contribution to military medicine. The award is intended to increase PA motivation for exceptional job performance. The program applies to all commands, agencies, installations, activities, and organizations having PAs assigned on a full-time basis Policy a. Eligibility. Any AD PA may be nominated for the award. Having once received the award, an individual is ineligible for future nomination. The PA should have at least 1 year of AD remaining at the time of nomination. Nominations generally will be for duty performance for the year immediately preceding the nomination deadline. b. Responsibilities. (1) TSG is the awarding authority. (2) Commanders at all levels will identify potential recipients and submit nominations accordingly. Staff surgeons at all major and lower non-medical command headquarters will assist commanders in this regard. With concurrence of these commanders, nominations may be submitted by staff surgeons. Commanders will publicize the award and its recipient when announced. Within security and privacy act requirements, publicity will emphasize duty performance and contribution to military medicine for which the award was given. (3) Commander, AMEDDC&S and SP program manager, DHET, AMEDDC&S, will program; budget; and fund a CME training opportunity for the recipient based on current published FY policy and procedures. c. Nomination procedures. Nominations should include nominee s grade, name, SSN, organization of assignment, inclusive dates for which recommended, and grade and duty assignment during the recommended period. A narrative justification of no more than one page in length should summarize specific and factual evidence of the nominee s exceptional duty performance and the impact on military medicine. The nomination should be unclassified and suitable for use as a press release. The nomination should be forwarded to Commander, U.S. Army Medical Department Center and School, HQ MEDCOM, ATTN: MCHO CL L, 2050 Worth Road, Fort Sam Houston, TX The nomination must include a statement that the nomination is not in contravention with AR Nominations are submitted in triplicate and must arrive no later than 31 December of each year. The recipient will be announced the following April. d. Selection procedures. Nominations will be considered by a board appointed by TSG and coordinated by the assistant chief SP chief, PA section. The board will review nominations, make recommended selections, and forward recommended selections to TSG. e. CME training for recipient. The award recipient is authorized to take part in military- or civilian-sponsored CME training. This training must provide an exposure to the latest professional techniques or improve proficiency in medical procedures or medical knowledge of benefit to the Army. The CME training may be taken during the same or following FY in which the award is announced. Funded CME training must be approved by the PA Consultant and by the chief, SP. A DA Form 3838 is submitted prior to the desired start date of the training to the SP program manager, DHET, AMEDDC&S at least 60 days prior to the desired start date of training. Funding will be in accordance with published FY policy and procedures. The SP program manager will provide a fund citation for the issuance of TDY travel orders by the local command. The officer will be in official TDY status and will wear an appropriate Army uniform while at the training. f. Command and installation recognition awards. Commanders and staff surgeons are encouraged to establish similar recognition award programs at local levels. These awards should provide additional recognition for exceptional duty performance. Local commands or installation recipients may also be nominated for the TSG PARA. However, local awards should not be used as the only basis for TSG PARA. Chapter 10 Veterinary Corps Policy and Programs Section I Training Programs Introduction This chapter provides information on education and training policy and program opportunities available to Veterinary Corps officers (VCOs), VC food safety officers and or WOs. VCOs have a responsibility to enhance their knowledge 46 AR October 2007

61 and skills as both military officers and as medical professionals. The VC chief and VC branch (AHRC OPH V), AHRC, encourage participation by officers in planning the educational aspects of their careers Policies a. The VCOs will obtain advanced professional degrees; complete progressive military schooling; actively take part in CHE; and maintain the appropriate credentials, licenses, and board certifications required of their assignments. b. Upon completion of LTHET or advanced military training, officers will generally be assigned to a utilization tour. The utilization assignment will be in a position with a validated requirement for the recently acquired skills Military training for commissioned officers a. The general sequence of professional military training for commissioned officers is as follows: (1) AMEDD OBLC. All VCOs will attend the AMEDD OBLC and the veterinary track within their first year on AD. (2) AMEDD CCC. VCOs will attend CCC before they are in the primary zone of consideration for promotion to major. (3) Intermediate level education (ILE). All VCOs who have completed CCC, attained the grade of major or captain (P), and have less than 14 years of AFCS will be considered by the DA Selection Board for the 14-week resident ILE course unless the officer declines consideration. The VC receives a very limited number of resident seats per year; therefore, all VC officers are strongly encouraged to enroll in either the ILE correspondence course or the USAR course (if available). To be eligible for the ILE correspondence course, officers must have completed CCC and be a captain (P) with greater than 6 years AFCS or hold the rank of major. (4) SSC. All eligible VCOs will automatically be considered for SSC attendance unless the officer declines consideration by the board. VCOs must hold the grade of lieutenant colonel or colonel to be considered. For other eligibility requirements, see the annual MILPER message pertaining to the SSC board. The VC generally has one seat each year for the ten-month resident SSC course. Officers selected as alternates are encouraged to apply for the AWCDEP. This can be coordinated through the VC branch, AHRC. b. Officers may accrue an ADSO for attendance at some of these military training courses. ADSOs for specific courses can be found in AR or by contacting the VC branch, AHRC The Military Veterinary Corps Food Safety Officer Training Program a. Veterinary WOs are accessed through the Military VC Food Safety Officer Training Program. Application procedures are announced annually by the U.S. Army Recruiting Command. Selection is by a board action. EN personnel eligible to apply include veterinary food inspection specialists (MOS 91R) and preventive medicine specialists (MOS 91S). b. Applicants must qualify for an appointment in the USAR. Upon successful completion of WOCS training, EN personnel will be discharged from the EN grades, awarded the AOC 640A, and accessed as a WO. (1) The general sequence of training for VC food safety officers is as follows: (2) Warrant Officer Candidate School (WOCS) has a mandatory 6-week entry training at Fort Rucker, AL. (3) Warrant Officer Basic Course (WOBC) has a mandatory 5-week training at Fort Sam Houston, TX. (4) Warrant Officer Advanced Course (WOAC) has a mandatory 6-week training at Fort Sam Houston, TX. WOs with two years time-in-grade (TIG) as a CW2 may apply. (5) Warrant Officer Staff Course (WOSC) has a mandatory 4-week training at Fort Rucker, AL, in the year of promotion to CW4. (6) Warrant Officer Senior Staff College (WOSSC) has a mandatory 5-week training at Fort Rucker, AL, in the year of promotion to CW5 c. Students attending the AMEDD WOBC will be required to acknowledge the criteria for student participation and graduation as outlined in the Student Evaluation Plan (SEP). d. WOs may accrue an ADSO for attendance at some or all of these military training courses. ADSOs for specific courses can be found in AR or by contacting the VC branch, AHRC Long-term health education and training a. Education and training opportunities are based upon the needs of the VC and its DOD missions. The normal TIS upon entry into LTHET is between 3 and 12 years AFCS. VC food safety officers may apply with 4 to 12 years of WO Service. Application procedures are announced annually on the VC branch, AHRC Web site. Selection is by board process. Board composition will include VC representation and will convene annually to consider candidates for entry into schools and programs the following AY. This board considers candidates for the following education programs: (1) Three-year doctoral programs at civilian and DOD universities. (2) Two-year master s programs at civilian and DOD universities. (3) Three-year master s degree producing residencies at civilian universities. (4) Three-year pathology residencies at military institutions. AR October

62 (5) Two- or three- year laboratory animal medicine residencies at civilian universities and military institutions. (6) Internships and internship/master s degree programs. (7) Bachelor s degree completion and master s degree programs at civilian universities for WOs. (8) Degree-producing formal training programs at civilian and or Government institutions and facilities. b. Some veterinary internship and residency programs may involve a duty position within a military institute. c. While attending LTHET at civilian universities, the officer is assigned to the student detachment, AMEDDC&S. Subject to the availability of funds the VC program manager, DHET, AMEDDC&S, will budget and obtain CTP funding for TDY expenses associated with travel directed by the educational institution as required. Funding will be in accordance with current FY policy and procedures. Subject to the availability of funds, certification board examination fees, and TDY expenses may be funded by the VC program manager. d. Students attending LTHET programs will accrue an ADSO. ADSOs for a specific type of program can be found in this regulation or by contacting the VC branch, AHRC Professional Postgraduate Short Course training a. Military. VCOs may apply to attend a variety of military PPSCP courses. The VC branch may direct attendance at some of these courses to prepare a VCO for an upcoming assignment. Applications are submitted on a DA Form 3838 to the VC branch, AHRC, who will verify the eligibility to attend and forward to the VC program manager, DHET, AMEDDC&S not later than 60 days prior to the course start date. b. Other Federal and civilian courses. VCOs may be directed to attend courses offered by other Federal agencies and civilian institutions as required training for upcoming assignments. The courses include, but are not limited to, the following U.S. Department of Agriculture (USDA) and Food and Drug Administration (FDA) Courses: (1) The USDA 2-week Foreign Animal Disease Diagnostician s Course. (2) The 4-day FDA Milk Pasteurization Controls and Test Course. (3) The 4-day FDA Investigating Foodborne Illnesses Course. (4) Interagency Institute for Federal Healthcare Executives. (5) State or regional courses in egg quality, laboratory examination of dairy products, and similar courses. c. Application. A DA Form 3838 is submitted to the VC branch, AHRC, AHRC OPH VC, who will verify the applicant s eligibility to attend PPSCP. The application is then forwarded to the VC program manager, DHET, AMEDDC&S, for funding. Funding will be in accordance with published FY policy and procedures Training with industry The VCOs and VC food safety officers may train with industry and Governmental agencies as part of the TWI program. This program is offered on a limited basis Application procedures Applications must be received in the VC branch, AHRC, as indicated in the annual VC LTHET message. Communication with the consultant for a particular program prior to applying for LTHET is strongly recommended. A list of the various consultants can be found on the VC branch, AHRC, Web site. Program desires and career timing should be discussed with the VC branch, AHRC. Eligibility requirements and application procedures can be found on the VC branch, AHRC, Web site. Funding will be in accordance with published FY policy and procedures Funding a. LTHET. Fully-funded LTHET programs pay for all authorized fees and tuition associated with training for the approved period of training based on current published FY policy and procedures. An annual payment for books and authorized miscellaneous supplies, authorized with published FY policy and procedures, is also provided upon request from the officer. All doctoral programs are fully-funded with the additional sum available for dissertation expenses. Residencies offered at military institutions do not require funding. b. Professional/military training. All short courses offered by the AMEDDC&S are funded by AMEDDC&S. Funding will be in accordance with published FY policy and procedures. Short courses not offered by the AMED- DC&S and other Federal courses will be funded by the local MEDCOM unit if the VCO applying is attached to a MEDCOM/VETCOM unit. Any VCO not attached to a MEDCOM/VETCOM unit must apply for funding by submitting a DA Form 3838 to AHRC, ATTN: AHRC OPH VC, 200 Stovall Street, Alexandria, VA Withdrawals and probation a. Criteria. Criteria for withdrawing a VCO from a training program include, but are not limited to, the following reasons: (1) By request of the student. (2) On recommendation of the training institution based on non-academic reasons or academic failure. (3) On authority of the Chief, VC, to meet the needs of the Service. b. Withdrawal procedures. 48 AR October 2007

63 (1) When a student wishes to voluntarily withdraw from training at a military institution, the student must submit a written request through the PD and the Education Committee. The request must contain an effective date of withdrawal and a statement from the training program recommending approval/disapproval of the request. A final evaluation report should be provided to VC branch, AHRC, no later than 15 days after the effective date of withdrawal. The request for withdrawal will be forwarded through command channels to the chief, VC, for final action. If student is assigned to the student detachment, AMEDDC&S, a copy of the approved withdrawal will be forwarded to the VC branch, AHRC, VC program manager, DHET, AMEDDC&S, and to the unit of assignment. (2) When a student wishes to voluntarily withdraw from training at a civilian institution, the student must submit a request in writing through the civilian PD, the appropriate VC consultant, to the chief, VC for final action. Notification of withdrawal will be provided to the VC branch, AHRC, VC program manager, DHET, and Commander, AMEDD student detachment. c. Probation and termination. (1) Military. Cause: A student may be placed on probation by the commander for any unsatisfactory performance which includes, but is not limited to, the following: (a) Failure to meet academic or technical performance standards or objectives of the program. (b) Unprofessional conduct, which includes 1. Any act or omission constituting misconduct or moral or professional dereliction. Depending on the severity of the conduct, administrative separation, or termination of training may be more appropriate than probation. 2. Any act or omission which is inconsistent with the safe, orderly, and competent practice of veterinary medicine. (c) Inappropriate personal conduct which disrupts the academic atmosphere, adversely affects animal care, or casts doubt upon a student s future value to the VC. (d) Lack of motivation and/or application. (2) Civilian. (a) Cause. A student may be placed on probation under the circumstances of paragraph 10 10c(1), above. A student placed on probation under the policies of a civilian university will also be considered for probation. ( b ) P r o c e d u r e s. S t u d e n t s a t t e n d i n g c i v i l i a n i n s t i t u t i o n s w i l l n o t i f y V C b r a n c h, A H R C, a n d t h e C o m m a n d e r, AMEDD student detachment, immediately if placed on probation by their institution. The VC branch, in consultation with the appropriate consultant, and the chief, VC, as necessary, will recommend appropriate actions to the student detachment. Notification procedures of 10 10c(3), below, will apply. Non-academic probation requests will be considered in accordance with procedures established by the student detachment in consultation with the VC branch, AHRC, and the chief, VC. (3) Requests for probation/termination. (a) Probationary procedures will be established by the PDs at the military programs. The facility will ensure that the student receives due process during the probationary and/or termination proceedings. If a student is placed on probation, the student will be provided notification in writing which will include, at the minimum 1. The reason for probation. 2. Suggestive corrective actions for improvement. 3. The duration of the probation. (b) During the probationary period, the student will be given appropriate opportunity to improve performance to a satisfactory level. The probationary period may be extended. During any period of probation, a student may be processed for immediate termination based on matters other than those upon which the probation was based. (c) The probationary status will end when the student has improved to a satisfactory level as determined by the education committee, has voluntarily withdrawn, or has been terminated from training. (d) If termination is desired, the PD will submit a written recommendation for termination with supporting documentation to the education committee and furnish a copy to the student. The education committee will consider the termination request and determine whether to recommend termination to the commander. (e) The commander will provide the student written notification of his decision within 5 working days. If the commander s decision is to continue the student in training, an information copy of the proceedings will be forwarded through channels to the Chief, VC. (f) If the commander s decision is termination of training, the student will be given 5 working days to submit a statement of appeal to the commander and/or request a personal appearance. The student may not be accompanied by counsel during personal appearance. (g) The commander will consider whether action, such as initiation of elimination action, is appropriate under the circumstances of the case. The commander will maintain a record of student notification. (h) An appropriate evaluation report will be submitted on any officer terminated from training. (i) All documents pertaining to any relief decision will be forwarded to the Chief, VC. d. Extensions of training. (1) The Education Committee will determine by a majority vote whether a student s training should be extended or AR October

64 be terminated based on absence from the program for more than 30 training days in any AY. The committee s recommendation will be forwarded to the commander for his final action. (2) If the decision is for extension, then the commander will notify the student in writing of the extension and specify its duration. (3) If the decision is for termination, the instructions in 10 10c, above, apply. (4) Students who desire an extension of their current program to obtain a higher degree or to obtain further specialized training in their programs should apply in writing to the VC Branch, AHRC. The VC Consultants will determine by a majority vote whether a student s training should be extended in these cases. Funding for this extension will be determined by current FY policy and procedures and may not be funded by the military (DHET). e. Service obligations. Students who wish to withdraw or are withdrawn or terminated from a training program may be required to complete their ADSO (as stated in their contracts or SAs) at the option of the Secretary of the Army. However, nothing in this policy will be construed as limiting the authority of HQDA to discharge, separate, or release from AD any officer whose conduct, record, qualifications, status, or performance would permit such action under applicable regulations. Further, nothing in this policy will be construed to modify the service obligation provisions of any contract or SA. Section II Continuing Health Education Details for the Veterinary Corps General This section provides guidance on recording attendance at CHE by VCOs. It includes a listing of training resources available to VCOs Veterinary Corps responsibilities a. The VC will assist VCOs in procuring funding to complete CHE required for licensure and accreditation. b. VCOs will (1) Maintain records of their participation in CHE programs. (2) Forward required documentation of CHE to the appropriate licensing entities Policy and procedures The CHE requirements for VCOs will be satisfied primarily by attending local, regional, or national meetings. Meetings will be sponsored by recognized professional or health associated societies, associations, or academic institutions. Other training resources available are as follows: a. Journal clubs that provide for the review, presentation, and discussion of articles from current professional journals. b. Clinical presentations. c. Audiovisual programs obtained from the (1) American Veterinary Medical Association. (2) U.S. Public Health Service and other Federal agencies. (3) AMEDDC&S. (4) Army film library. (5) Pharmacological and animal food companies. (6) State and local veterinary medical associations. (7) American Animal Hospital Association and other professional associations. (8) AFIP. d. Attendance at professional education or training courses or programs presented by the military. e. Presentations by visiting consultants, local practitioners, and members of the allied sciences. Chapter 11 Army Medical Department Enlisted Personnel Policy and Programs Introduction This chapter describes policies concerning AMEDD EN training in the AMEDD Enlisted Commissioning Program (AECP) and the Professional Postgraduate Program (PPSCP). 50 AR October 2007

65 11 2. The Enlisted Army Medical Department Professional Postgraduate Short Course Program a. The Enlisted PPSCP is designed to enhance health care education for AMEDD Soldiers by providing a forum for subject matter experts to present current and future technological advancements and a platform for CHE credits. b. The PPSCP is controlled by the Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HEI, Fort Sam Houston, TX The MEDCOM Command Sergeant Major, in the role of EN Chief, provides overall guidance for the program. c. T h e P P S C P i s a v a i l a b l e t o a l l A M E D D E N p e r s o n n e l i n c a r e e r m a n a g e m e n t f i e l d ( C M F ) 9 1 i n g r a d e s SGT SGM/CSM. Funding will be in accordance with published FY policy and procedures. d. The program manager coordinates specific MOS/ASI related short courses with consultants (project officers) for respective specialties, establishing dates; quotas; and agendas. Messages will be transmitted worldwide announcing short courses and dates prior to the beginning of each FY. e. Applications will be made by submitting DA Form 3838 not later than 60 days prior to the start date of scheduled short course. Submissions for attendance will be sent to Academy of Health Sciences, Department of Health Education and Training, 1750 Greeley Road, ATTN: MCCS HED, Fort Sam Houston, TX USAR and ANGUS will submit appropriate applications in accordance with local policies. f. Applications by Army National Guard Soldiers of the United States will be submitted to Army National Guard Readiness Center, Office of the Army Surgeon (NGB ARS), 111 South George Mason Drive, Arlington, VA , (703) , DSN: ,5 FAX: (703) /7183. g. Applications by Army Reserve Soldiers will be submitted to Commander, AHRC, ATTN: AHRC HS CHE, 1 R e s e r v e W a y, A T T N : A H R C H S C H E, S t. L o u i s M O , , E x t , F A X : ( ) United States Army Medical Department Enlisted Commissioning Program a. The AMEDD Enlisted Commissioning Program (AECP) provides eligible Soldiers the opportunity to complete a baccalaureate degree in nursing, become a registered nurse (RN), and be commissioned in the AN. Participants continue to receive their current pay and allowances during school. Academic costs are funded by the program for up to 24 months of enrollment. Funding will be in accordance with published FY policy and procedures. b. Eligibility, policies, and application procedures, including ADSO, are described in AMEDD Enlisted Commissioning Program Guidelines for Enlisted Army Personnel Active duty Service obligations for United States Army Medical Department enlisted personnel in the Army Medical Department Enlisted Commissioning Program Soldiers in the AECP will incur an ADSO in accordance with current policies and procedures. In order to ensure all enrolled EN personnel are aware of their obligations, the student detachment will prepare and execute a counseling checklist prior to any individual beginning a program. Chapter 12 Chaplain Corps Policy and Programs Section I Clinical Pastoral Education Introduction This section provides chaplains with information concerning the Army Clinical Pastoral Education (CPE) Program. CPE provides chaplains clinical pastoral skills which will enable them to function effectively in institutional ministries at medical centers; medical department activities; medical brigades; and, as appropriate, in the Army disciplinary barracks. The 49-week course provides graduates with the 7R ASI. Funding will be in accordance with published FY policy and procedures Responsibility for clinical pastoral education The CPE program is accredited by the Association of Clinical Pastoral Education (ACPE) and conducted under the auspices of the DA, Office of the Chief of Chaplains, designated as proponent and the AMEDDC&S Chaplain, designated as the functional proponent Eligibility Eligibility will be based on the OML as determined by the Chaplain s CPE Selection Board. Top selectees will be offered the opportunity to apply for CPE. AR October

66 12 4. Selection and application process Selected individuals will be notified by the personnel actions officer, DACH PER, and will receive a CPE packet. Applicants will complete the packet. Packets will be forwarded to DASH PER and screened by the selection committee. The chosen applicants will be assigned to a CPE Center for training Active duty Service obligation Following graduation, AD Army chaplains will incur a 3-year ADSO and serve a utilization tour as determined by the Chief of Chaplains (or their designee). The Service obligation of the non-ad Army graduates will be determined by RC and/or the Service of the student. Section II Professional Postgraduate Short Course Program Introduction This section provides chaplains with information concerning the PPSCP. Chaplain short courses are intended to provide continuing CE opportunities in areas of the clinical chaplaincy Application process Application procedures are as follows: a. Formal application for clinical chaplain short courses is accomplished by completing a DA Form The completed form should be addressed to Academy of Health Sciences, ATTN: MCCS GCH, Bldg. 2840, Fort Sam Houston, TX, The request must be received at least 60 days prior to the training start date. Funding will be in accordance with published FY policy and procedures. b. After review of requests, the AMEDDC&S chaplain s office will notify all applicants of their acceptance or nonacceptance. Those accepted will be provided an LOI outlining time, date, place, uniform, and other requirements/ instructions. When appropriate, a fund citation will be included in this LOI. Chapter 13 Medical Training in the Reserve Components Introduction This chapter prescribes policies and procedures for providing training to RC AMEDD Soldiers in the ARNGUS and the USAR. The purpose is to create an environment in which each AMEDD Soldier in a RC unit performs 48 paid inactive duty training (IDT) periods annually, plus two weeks of annual training (AT). It is preferable for a unit member to train with his or her unit at regularly scheduled unit training assemblies (UTAs); but when this is not possible, flexible training opportunities will be used to maximize the satisfactory participation of the AMEDD Soldier. Overall guidance for RC missions, organization, and training is found in National Guard Regulations (NGRs) 350 1, (ARNGUS), and AR (USAR). An additional reference is found in AR Funding will be in accordance with published FY policy and procedures Guidance The following guidelines apply to RC AMEDD Soldiers: a. All RC medical training is structured to achieve medical readiness that will ensure the maximum effectiveness of combat forces during wartime. b. When practical and economically feasible, medical training will be designed to encourage (1) The integration of RC and Active Army, Army medical units, and members scheduled to work together in wartime and train together in peacetime. (2) Regular RC medical participation in command post exercises and field training exercises. (3) Interaction between RC health care personnel and civilian health care personnel at civilian academic institutions through the use of medical training opportunities. (4) Flexible training opportunities for RC health care personnel. (5) The RC health care personnel to attend both civilian and military CHE courses. (6) The RC medical units to drill at hospitals of the uniformed Services when appropriate. (7) Required medical training for all Soldiers of the RC consistent with their mobilization assignment and training category Training objectives The overall minimum training objectives for RC AMEDD Soldiers are the same as AC AMEDD and non-amedd 52 AR October 2007

67 Soldiers. They include individual proficiency in the officer s AOC or EN member s military occupational specialty (MOS) and job specific proficiency required for the accomplishment of the unit s collective mission. These objectives encompass AMEDD professional and military related skills. a. Training will consist of a combination of IDT, AT, and ADT. b. Training must not be considered as part of the individual s routine private practice for which he or she receives personal compensation. c. Training will be related to the Soldier s wartime medical duties. d. Appropriate uniform will be worn while performing duties credited as training. An example of appropriate uniform for surgery is surgical clothing, while an appropriate uniform for conducting physicals is a class B uniform with a lab coat. Attendance at CHE meetings will be in either class A or class B uniform. Field training will be accomplished in appropriate field uniform. e. All training requires the same supervision and verification consistent with the expenditure of any Government funds. f. Training must be conducted according to NGR (for ARNGUS Soldiers) and AR Pay and retirement point credit will be awarded under NGR and AR , AR 140 1, and AR Training programs Commanders are tasked with planning and providing innovative training which challenges AMEDD Soldiers who have unique duties and responsibilities to their clients and/or communities that may prevent them from attending UTAs, thus requiring flexibility in training. This flexibility may make it necessary to mix many different types of training programs. Flexible training will require considerable effort, coordination, and control. The emphasis will be placed on what can be done rather than what cannot be done for each AMEDD Soldier. The following training programs are designed to attract and retain appropriate health care personnel with the desired skills for the RC. Individuals regularly assigned to SELRES units, IMA positions, and members of the IRR are eligible to participate in these programs, except as otherwise noted. a. Reserve flexibility training (FLEXTRAIN). FLEXTRAIN provides an opportunity for RC health care personnel to receive pay and/or retirement points by developing flexible scheduled training programs instead of attending regularly scheduled unit training assemblies (RSUTAs). Training activities must be approved by the Soldier s unit commander or other authorized supervisors before participation in the proposed activity. Training must enhance the Soldier s military medical readiness and must not be considered part of his or her private practice for which compensation is awarded. For IRR members, participation in IDT will be for points only and have approval of the applicable career manager officer (CMO) at the AHRC, St. Louis (AHRC STL). To obtain credit for FLEXTRAIN and rescheduled training (RST) must be in accordance with AR 140 1, paragraph b. Continuing health education to enhance readiness (CHEER). The purpose of CHEER is to give healthcare personnel the opportunity to maintain and enhance their professional skills through attendance at CHE, CME, and AMEDD professional development education (PDE) activities. It is designed to help meet professional certification, recertification, and licensure requirements while simultaneously contributing to mobilization readiness. All training must comply with provisions of AR (1) The CHE meeting must relate to the Soldier s AOC/MOS and/or mobilization wartime skills. (2) When appropriate, CHE, CME, or PDE meetings must be accredited by an approving agency that is officially recognized by professional health organizations such as (but not limited to): TSG, AMA, TSG PRA Category I and 2 CME credit, ANCC, American Dietetic Association, National Federation of Licensed Practical Nurses, and National Association of Practical Nurse Education and Service to qualify for IDT, ADT, or AT credit. (3) The TPU Soldiers attending CHE, CME, or PDE meetings of private organizations will be compensated at the rate of one day of military pay and one retirement point for each day of the meeting. The meeting must be a minimum of four hours to qualify for pay. (4) A private organization s meeting that is at least two hours but less than four hours in duration may be used to claim one retirement point as IDT. ACs may authorize two two-hour meetings conducted on separate dates to be combined to make 4-hour blocks for one day s pay and one retirement point. (5) The CHE activities conducted as part of an UTA will be compensated at the rate of one day s military pay and one retirement point for each 4 hours of CHE training. (6) If military pay is desired, application for attendance at CHE activities not held at the unit will be submitted by the individual through his or her unit or appropriate personnel management office (PMO). A copy of the flyer, brochure, or acceptable CHE verification will be submitted with the appropriate application form. (7) Soldiers who desire only retirement point credit for attendance at CHE meetings of private organizations will submit a DA Form 1380 (Record of Individual Performance of Reserve Duty Training) to the unit or appropriate PMO. c. PPSCP. RC Soldiers are encouraged to attend short courses as part of their CHE program. TSG establishes postgraduate short courses and the AMEDDC&S publishes the list annually. d. U.S. Army Correspondence Course Program. Soldiers who wish to augment their training or who cannot attend AR October

68 UTAs may enroll in U.S. Army correspondence courses. Retirement points are earned as stated in AR ; NGRs 350 1, 351 1, and 680 1; and The program cannot be used to receive military pay in an IDT status. e. Research projects/special projects. AMEDD personnel may receive IDT pay and/or retirement points for research projects as stated in AR which are directly related to mobilization and readiness. (1) To perform research in an IDT status, the Soldier in a TPU must provide the following information to the medical unit commander for project approval: (a) A brief outline or explanation of the research topic and the intended product of the research (lecture, paper, or journal article). (b) An estimate of the amount of time that will be required to perform the research and prepare the research report (the time estimate should be in 4-hour increments). (c) Identification of an individual in the supervisory chain who will be designated to monitor the project, review attainment of results, and sign DA Form(s) (2) If the Soldier is a member of the IRR or IMA, he or she must provide the information as shown in paragraphs 13 4e(1)(a), 13 4e(1)(b), and 13 4e(1)(c), above, to the appropriate CMO at AHRC, St. Louis. for project approval. (3) No more than four IDT periods (16 hours) will be authorized for a literature search, and no more than a total of eight IDT periods (32 hours), including the literature search, will be permitted for research in any training year. (4) Research will not commence in an IDT status until written approval has been received. (5) An interim report describing status of the research will be submitted with the DA Form The DA Form 1380 may be submitted monthly or upon completion of the project. (6) Research projects will qualify for one day of military pay (for TPU and IMA) and one retirement point for every 4-hour period of research/preparation. f. AMEDD Professional Management Command (APMC). The APMC is an administrative headquarters. It provides a flexible program of USAR participation for AMEDD officers who cannot participate satisfactorily in the UTA of a TPU but desire membership in the SELRES. Individuals are assigned against TPU vacancies for readiness reporting and mobilization and then attached to the APMC for all management and personnel/finance support. Attachments to the APMC will only be considered when the applicant cannot meet TPU requirements for participation. Selection of the unit of assignment is based on the existence of a position vacancy in the AOC/MOS of the APMC member and the achievement of overall personnel readiness of the Reserve Force structure. Home of record of the APMC member is not a factor in the selection process. The unit of assignment will be selected by the APMC, and AMPC members will remain in these positions unless the unit commander indicates a need for the position for a reservist desiring full participation with the unit. g. Specialized Training for Army Reserve Readiness (STARR) Program. The STARR program is designed to allow EN personnel an opportunity to obtain advanced individual training in critically short medical skills by attending accredited civilian community colleges and technical schools throughout the country. The program provides the opportunity for technical training and experience in a medical MOS in exchange for individual service commitment in the USAR. h. Civilian Contract Training Program. The Civilian Contract Training Program can be instrumental in resolving critical AMEDD shortages. Soldiers will be on ADT while attending a local civilian accredited school in a program that will allow the individual to be awarded an AMEDD MOS per DA Pam Application and funding for this program in the USAR will be through the chain of command to the major USAR RRCs. i. Authorized absences from IDT or AT. Authorized absences are governed by AR , AR 140 1, and AR j. Special projects. There are numerous opportunities that may provide meaningful training for AMEDD personnel. Special projects must be well planned, documented, and approved by the commander before the start of the projects. Activities inconsistent with this regulation include those which are unrelated to mobilization or readiness, are less than the prescribed time period, or consist of on call library or research work not approved or otherwise not performed under the conditions outlined in paragraph 13 4g, above. More than one person may be involved in a project at the same time or in sequence. For special projects to be approved, they must (1) Have a direct military mobilization/readiness benefit. (2) Have a definite objective. (3) Have measurable milestones at the end of every two UTAs if the projects exceed two UTAs. k. Other activities that may be used as guidelines for flexible training include but are not limited to the following: (1) AMEDD Officer Development Program. The career development of AMEDD officers should provide the necessary training, background, and experience to exercise leadership and to assume command and high-level staff positions. This includes completion of military education and training appropriate for the Soldier s branch/aoc. (2) Noncommissioned Officer Development Program (NCODP). Noncommissioned officer professional development involves the full range of training, education, and other experiences received throughout a career. NCODP is one of the more important elements of professional development. It is the training an NCO receives while a member of a unit. (3) Wartime Alignment of Reserve and Active Medical Systems (WARAMS). WARAMS is a training program 54 AR October 2007

69 designed to maximize the mobilization readiness and operational effectiveness of medical units and members. The objective of WARAMS is to fully integrate RC and Active Army medical units so that Soldiers who may work together in wartime and train together in peacetime. WARAMS promotes effective identification, organization, training, and operations of the total force medical assets (WARTRACE). (4) Medical readiness exercises (MEDREX). MEDREX are designed to allow RC medical units to participate fully with the Active Army in command post exercises and field training exercises. MEDREX attempts to increase operational readiness capabilities to meet wartime medical support requirements. For maximum effectiveness, exercises are conducted at actual wartime employment locations in the United States and in potential overseas theaters of operations. WARAMS and MEDREX provide a collective basis to achieve the highest level of medical readiness (for example, Ulchi Focus Lens, Reception Staging Onward Movement and Integration (RSO&I), Pacific Warrior, Cobra Gold, Golden Medic. (5) Programs for nurses and EN health care personnel. Programs for nurses and other critically short health care specialists will accomplish objectives similar to those of physician reservists in medical universities and schools (PRIMUS). Military pay and retirement points will be credited while performing IDT or ADT at, or with, universities or schools and their branches or other designated locations for the following: (a) Completion of a master s degree. (b) Completion of a Bachelor of Science in Nursing. (c) Completion of an Associate Degree in Nursing. (d) Completion of courses that have a direct relation to mobilization and readiness. (e) Certification courses (for example, cardiopulmonary resuscitation, advanced cardiac life support, advanced trauma life support (ATLS), and so on). (f) Certification/licensure examinations Mandatory training activities Unit commanders will prescribe that AMEDD personnel attend mandatory drills with their unit unless excused or exempt. This is to promote unit cohesion and to ensure participation in minimum mandatory training activities required of every Soldier in the unit. This policy should not be interpreted as requiring attendance at every, or even the majority, of drills. The intent is to assist in balancing the needs of the unit with the training requirements of the individual and the special situation involving the AMEDD Soldier. Each ARNGUS or USAR unit commander has full authority to grant all types of training flexibility afforded by the AMPC except for crossing geographical boundaries. Commanders are encouraged to exercise this authority whenever possible to promote unit cohesion and unit membership Training reports a. Attendance at unit training will be recorded per AR DA Form 1379 (U.S. Army Reserve Components Unit Record of Reserve Training) will be completed as required in AR b. The AMEDD personnel performing duty away from the unit or at a time different from the RSUTA will use signin rosters verified by the person in charge, if applicable. DA Form 1380 will be used as required in AR and AR (1) The form must bear the signature of the officer or person in charge who supervised or had direct knowledge of the training (DA Form 1380, blocks 11 and 12). (2) If the AMEDD Soldier is a civilian employee of the facility, the DA Form 1380 must be annotated to state that the duties performed were above and beyond any regularly scheduled duties and were performed in an appropriate uniform. (3) If a military person cannot be named at a CHE meeting, a Soldier may state their attendance on the DA Form Officers who attend those meetings listed by TSG will add the following statement: "I have attended two session, each lasting four hours, at the time(s) and date(s) indicated within an approved meeting, seminar, convention, symposium, conference, or training session approved by The Surgeon General and hereby certify my justification for military pay and/or the award of retirement point credit under provisions of AR 140 1, AR , and NGR " Chapter 14 Professional Boards and Certification of United States Army Medical Department Personnel Section I United States Army Medical Department Officers and Warrant Officers General Examinations and boards are required for specialty recognition of certain officers and WOs. This section prescribes payment (from appropriated funds) of fees and travel expenses for these examinations and boards. Payments will be AR October

70 made for recognition by boards and comparable professional organizations. This section prescribes TDY for officers and WOs undergoing examinations for recognition. Funding will be in accordance with published FY policy and procedures Eligibility An officer or WO must be eligible to be paid for expenses. Expenses (including TDY) must relate to examinations or boards. To be eligible, the officers or WOs must meet the requirements in paragraphs 14 2a and 14 2b, below, and must be on AD (other than AT or ADT). In cases when the requirements of 14 2a, below, are met, but 14 2b are not, commanders may authorize permissive TDY for persons to take examinations at no expense to the Government. The officer or WO must a. Arrange for examinations and boards for recognition with the proper specialty bodies. In some cases, a specialty body will not accept a candidate for an examination or board before receipt of an application fee. In such cases, a statement should be obtained from the specialty body that the candidate will be considered for acceptance upon receipt of such fee. To prevent denial of reimbursement, applicants are cautioned not to remit application fees before receipt of authorization (see para 14 6). b. Have at least one-year AD remaining after the date of the specialty examination or board. If stationed overseas, enough service must also be available to permit completing the specified tour for the area of assignment Authorized payments Payments are subject to paragraphs 14 2, above, and They are also subject to the availability of local TDY funds. The local commander determines if funds are available. AMEDD officers and WOs are authorized payment for fees, necessary travel costs, and legitimate and documented costs associated with preparation of records for a board examination. Fees and costs must relate to examinations and boards for specialty recognition by recognized boards and comparable professional organizations as directed by DA. An examining board may require the presence of a patient. Thus, an assistant may be needed to deliver treatment effectively. If so, both a patient and an assistant for the examinees are authorized TDY travel and per diem (if determined eligible by the local commander). If a candidate fails to achieve recognition on the first attempt, permissive TDY (AR ) may be authorized for later attempts. Funded TDY will not be authorized for second attempts. Fees authorized for payment under this regulation do not include those fees or dues for memberships of persons in societies or associations. Such membership fees or dues are not payable from appropriated funds. Funding will be in accordance with published FY policy and procedures Officers and warrant officers stationed overseas a. Part I (written) of many authorized examinations is given in various overseas areas. DOD has named one of the military departments in each major overseas area to assist the specialty boards in giving part I of their examinations to officers and WOs stationed in that area. The areas and departments are listed in table 14 1, below. Table 14 1 Overseas part I (written) examination authorities Area Pacific Europe Mediterranean, North Africa, and Middle East Alaska Department Army Army Navy Air Force b. If part I of the examination is given in the officer s or WO s overseas area, the member will not be authorized to return to CONUS to take this part of the examination. This is true even though the member may otherwise be eligible for TDY to take specialty board examinations. c. Officers or WOs serving in overseas areas where part I of the proper examination is not given may be placed on TDY to the places of examinations within the United States if the provisions of paragraph 14 2 are met. d. It may be more economical for officers or WOs to take part I of the examination in an area other than the one where they are stationed. If so, the AMEDD AC or the command surgeon of the area will arrange with the responsible agency of the other area for them to take this part of the examination. e. Part II examinations are generally oral or performance examinations. Part II examinations and examinations of boards having single or combined examinations are normally not given overseas. Officers and WOs may be placed on TDY to the place in the United States where such examinations are given if the provisions of paragraph 14 2 are met. 56 AR October 2007

71 14 5. Authorization and reimbursement for personal expenditures a. Prior authorization is required in all instances in which reimbursement for personal expenditures will be claimed under this chapter. Funding will be in accordance with published FY policy and procedures. Exceptions are in paragraphs 14 5c and 14 5d, below. The officer or WO will submit an application through command channels on a memorandum upon receipt of either of the following: (1) Evidence of acceptance for an authorized examination or board for recognition. (2) A statement from the specialty body showing that the officer or WO will be considered for acceptance upon receipt of the application fee. b. The first commander processing the memorandum who is authorized to issue TDY orders will issue the orders according to AR Funds for reimbursement of personnel taking examinations or boards in a TDY-en-routeto-PCS status will be provided by the losing organization except as described in paragraphs 14 5c and 14 5d, below. Operational funds available for the activity to which the officer or WO is assigned will be used for reimbursement of expenses relating to examinations or boards for recognition. Except for MC and MS, AMEDDC&S officers and WOs assigned to non-amedd controlled units or assigned to the Student Detachment will submit applications to Academy of Health Sciences, DHET, 1750 Greeley Road, Suite 201, ATTN: MCCS HE, Fort Sam Houston, TX MC officers should submit their applications to HQDA, OTSG, ATTN: DASG PSZ MC, 5109 Leesburg Pike, Falls Church, VA MS officers should submit applications to Commander, U.S. AHRC, Health Services Division, ATTN: AHRC OPH MS, 200 Stovall Street, Alexandria, VA Upon review and approval, a fund cite will be issued subject to the availability of funds. Orders will state that reimbursement is authorized according to this regulation upon submission of either of the following forms: (1) DD Form (Travel Voucher or Sub-voucher) (see para 14 6a). (2) SF 1034 and SF 1034A (Public Voucher for Purchases and Services Other than Personal) (see para 14 6b). c. Otherwise qualified officers or WOs who fail to obtain authorization before expending personal funds relating to examination or boards for recognition may be reimbursed. If so, the appropriate commander may authorize reimbursement of such expenses upon presentation of reasonable justification. d. Otherwise qualified officers or WOs who fail to obtain written authorization before spending personal funds for travel relating to examination or boards for recognition may be reimbursed for that travel. Reimbursement of such expenses will be made if later confirmation is obtained in accordance with Joint Federal Travel Regulations (JFTR), Volume I Payment of fees Officers and WOs will pay the application and examination or board fees for recognition directly to the examining bodies from personal funds. They will obtain a receipt to support their claim for reimbursement after the date of examination or board according to paragraphs 14 6a or 14 6b, below. Instead of the original receipt, the endorsed canceled personal check, or copy, may be submitted to support the claim. a. When travel is involved, prepare a DD Form to claim reimbursement or travel costs incurred or fees paid. Include with DD Form (1) The original receipt or the endorsed canceled personal check, or copy, for the fee paid by the officer or WO. (2) Copies of the orders prescribed in paragraph 14 5b. b. When travel is not involved, submit claims for reimbursement for fees on SF 1034 and SF 1034A. Include with the SF 1034 and SF 1034A (1) The original receipt or the endorsed canceled personal check, or copy, for the fees paid. (2) A copy of written authorization (see para 14 5), or explanation of failure to obtain authorization (see para 14 5c). Section II United States Army Medical Department Enlisted Personnel General This section provides for payment from public funds of fees and other expenses relating to examinations or boards for allied health professional recognition of AMEDD EN personnel. Funding will be in accordance with published FY policy and procedures. Recognition will be by recognized boards and comparable professional organizations. TDY is authorized for AMEDD EN persons to undergo examinations relating to examinations or boards for such recognition. However, commanders will attempt to have the examiner come to the installation to administer the examination to large groups. When this is done, the examiner s fees and travel costs are paid from funds available for the operation of the facility where the examinations are given. Cite this regulation as authority Eligibility To be eligible for reimbursement of expenses under this chapter, EN personnel must be on AD (other than AT or ADT). Funding will be in accordance with published FY policy and procedures. They must be performing duties of AR October

72 their specialty. They must meet the requirements indicated in paragraphs 14 8a and 14 8b, below. When paragraph 14 8b, below, is not met, commanders may authorize permissive TDY for persons to take examinations at no expense to the Government. When paragraphs 14 8a and 14 8b, below, are met and members are stationed overseas, commanders may authorize TDY to CONUS only if they are unable to take the examination in the overseas area of assignment. EN personnel must a. Arrange for acceptance for examination or board for allied health professional recognition by specialty bodies. b. Have at least one year AD remaining after the date of the examination Authorized payments Payments for fees and necessary travel costs are subject to paragraphs 14 8, above, and 14 10, below, and the availability of local TDY funds. AMEDD EN personnel are authorized payment for fees and travel costs relating to examinations and boards for allied health professional recognition by recognized boards and comparable professional organizations as directed by OTSG. MSC commanders at the O 6 level may approve a certification testing when the certification is from a nationally certified board and the skills acquired through the certification process enhance the Soldier s ability to perform his or her duties. If a candidate fails to achieve recognition on the first attempt, permissive TDY may be authorized for later attempts. Funded TDY will not be authorized for second attempts, with the exception of the 91W/M6 licensed practical nurse licensure examination, which may be funded for second attempts. Fees authorized for payment under this regulation do not include those fees and dues for memberships of persons in societies and associations. Such membership fees and dues are not payable from appropriated funds Authorization and reimbursement for personal expenditure a. Prior authorization of the commander described in paragraph 14 10b, below, is required when reimbursement for personal expenditures will be claimed under this chapter. EN personnel will submit applications through command channels on a memorandum when they receive either of the following: (1) Evidence of acceptance for an authorized examination or board for recognition. (2) A statement from the specialty body showing that they will be considered for acceptance upon receipt of the application fee. b. Orders will be issued according to AR The first commander processing the memorandum who is authorized to issue TDY orders will issue the orders. Operational funds available for the activity to which EN persons are assigned will be used for reimbursement of these expenses. Funds for reimbursement of personnel taking examinations or boards in a TDY-en-route-to-PCS status will be provided by the losing organization. Also, orders will state that reimbursement of expenses relating to examinations or boards is authorized according to this regulation. Reimbursement will be made upon submission of DD Form or SF 1034 and SF 1034A (see para 14 11a or para 14 11b, below) Payment of fees Enlisted personnel will pay the application and examination or board fees for allied health professional recognition directly to the examining boards from personal funds. They will obtain receipts to support their claims for reimbursement after the examination or board according to paragraph 14 11a or 14 11b, below. Instead of the original receipt, the endorsed canceled personal check, or copy, may be submitted to support the claim. a. When travel is involved, indicate so on DD Form to include the travel costs incurred for the examination or board. Support DD Form with (1) The original receipt or the endorsed canceled personal check, or copy, for the fee paid by the EN person. (2) Copies of the orders prescribed in paragraph 14 10b, above. b. When travel is not involved, submit claims for reimbursement for fees on SF 1034 and SF 1034A. Support SF 1034 and SF 1034A with (1) The original receipt or the endorsed cancelled personal check, or copy, for the fee paid by the EN person. (2) A copy of the written authorization (see para 14 10, above). Chapter 15 Affiliation Policy and Procedures General This chapter a. Describes the AMEDD s overall affiliation of non-federal educational institutions with The Army Medical Facilities Program. b. Sets policies, procedures, and responsibilities for establishing and operating education and training programs in 58 AR October 2007

73 active Army medical facilities under a student volunteer program authorized by Title 5 United States Code, Section 3111 (5 USC 3111) subject to regulations issued by the OPM. c. Does not apply to training under the following programs or regulations: (1) Training of foreign personnel as governed by AR 12 15/NAVINST /AFR (2) Training of Army personnel in civilian institutions as governed by part two of this regulation. (3) The Army Health Professions Scholarship Program as governed by AR (4) Training arrangements with other Federal agencies as governed by DODI Responsibilities a. The commanding generals of MEDCOM and 18th MEDCOM are the approving authorities for affiliation agreements of Army MTFs within their respective commands. Approval authority is further delegated to commanders of Active Army medical and dental facilities for affiliation agreements of their facilities, provided the agreement is in the prescribed MEDCOM format. For Army medical facilities not covered above, the Commander, MECOM (ATTN: MCRM M), is the approving authority and will provide general oversight for affiliation agreements. b. Affiliation agreements should be coordinated through the servicing staff judge advocates, staff civilian personnel officers, and resource management officers. Requests for exception to the prescribed format will be forwarded to the oversight authority cited above. The MTF will provide a copy of each affiliation agreement and subsequent modifications to the approving authority s support agreement manager within five (5) days of execution. c. Commanders of Active Army medical and dental facilities will ensure adherence to this regulation Training programs Army medicine and civilian education both benefit from an exchange of information and clinical expertise. Training affiliation programs can improve this exchange, reflect favorably on military medicine, and encourage civilian health care providers to explore careers in the AMEDD. Training affiliation programs must serve the best interest of the Army and must not detract from the medical mission of the Army medical facility or the education and training needs of AMEDD personnel. Special programs for the sole benefit of the educational institution or its trainees will not be established. Any work benefits derived are incidental to training Program cost There will be no payment of charges or fees between the Army medical facility and the educational institution. Trainees are to serve without compensation and may not be reimbursed for their out-of-pocket traveling and living expenses. Trainees will not be charged by the educational institution for services, supplies, and materials that have been provided by the Army Quality assurance Because the Army is responsible for health care provided in its facilities, trainees in affiliation programs could expose the United States to liability. They will be supervised by the Army medical facility staff while participating in the program. Their involvement in patient care will be governed by the Army medical facility s quality assurance program (see AR 40 68) Personnel accountability Trainees serving under affiliation agreements will not be counted against personnel ceilings. Positions will not be created for them on tables of distribution and allowances. Trainees will not be counted as "other personnel" for manpower survey purposes. Chapter 16 Agreements Affiliation agreements An affiliation agreement in the form of a memorandum of agreement between the educational institution and the Army medical facility (see fig 16 1, below) will be used as the basis for the acceptance, appointment, and clinical assignment of the educational institution s trainees by the Army medical facility. Each agreement will bear a control number identifiable by the organization symbol, consecutive number, and FY in which the agreement was approved (for example, MCRM 97). The control number will be assigned by the approval authority. a. Approval. The completed memorandum of agreement will be forwarded to reach the approving authority at least 30 days before the proposed starting date. Requests for deviation to the prescribed format will be forwarded to the oversight authority at least 30 days before the proposed starting date. Training will not start before the memorandum of agreement is approved and the trainees are appointed. b. Duration and termination. Either party may terminate the arrangements under this agreement by giving 30 days AR October

74 advance written notice of the effective date of termination. Except under unusual conditions, the notice will be given before the beginning of a training period. It is understood that the approving authority may terminate these arrangements at any time to meet the mission needs of the AMEDD. c. Periodic review. Army medical facilities will review each existing memorandum of agreement annually to determine whether it should remain in effect and whether an amendment is required by changed circumstances or a change in this regulation. All amendments, except those made to incorporate changes in this regulation, are subject to approval by the approving authority. 60 AR October 2007

75 Figure Sample format for an affiliation agreement AR October

76 Figure Sample format for an affiliation agreement Continued 62 AR October 2007

77 Figure Sample format for an affiliation agreement Continued AR October

78 Figure Sample format for an affiliation agreement Continued 64 AR October 2007

79 Figure Sample format for an affiliation agreement Continued AR October

80 Figure Sample format for an affiliation agreement Continued 66 AR October 2007

81 Figure Sample format for an affiliation agreement Continued AR October

Retention in an Active Status After Qualification for Retired Pay

Retention in an Active Status After Qualification for Retired Pay Army Regulation 135 32 Army National Guard and Army Reserve Retention in an Active Status After Qualification for Retired Pay Headquarters Department of the Army Washington, DC 4 May 2004 UNCLASSIFIED

More information

Retention in an Active Status After Qualification for Retired Pay

Retention in an Active Status After Qualification for Retired Pay Army Regulation 135 32 Army National Guard and Reserve Retention in an Active Status After Qualification for Retired Pay UNCLASSIFIED Headquarters Department of the Army Washington, DC 27 March 2017 SUMMARY

More information

Interservice Transfer of Army Commissioned Officers on the Active Duty List

Interservice Transfer of Army Commissioned Officers on the Active Duty List Army Regulation 614 120 Personnel General Interservice Transfer of Army Commissioned Officers on the Active Duty List Headquarters Department of the Army Washington, DC 11 June 2007 UNCLASSIFIED SUMMARY

More information

Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Provisions

Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Provisions Army Regulation 135 91 Army National Guard and Army Reserve Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Provisions Headquarters Department of the Army Washington,

More information

Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Provisions

Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Provisions Army Regulation 135 91 Series Title Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Provisions UNCLASSIFIED Headquarters Department of the Army Washington, DC 14

More information

Army Use of United Service Organizations, Inc., Services

Army Use of United Service Organizations, Inc., Services Army Regulation 930 1 Service Organizations Army Use of United Service Organizations, Inc., Services Headquarters Department of the Army Washington, DC 16 July 2004 UNCLASSIFIED SUMMARY of CHANGE AR 930

More information

Department of Defense INSTRUCTION

Department of Defense INSTRUCTION Department of Defense INSTRUCTION NUMBER 6000.13 June 30, 1997 ASD(HA) SUBJECT: Medical Manpower and Personnel References: (a) DoD Directive 6000.12, "Health Services Operations and Readiness," April 9,

More information

Board of Directors, Army and Air Force Exchange Service

Board of Directors, Army and Air Force Exchange Service Army Regulation 15 110 AFI 34 203(I) Boards, Commissions, and Committees Board of Directors, Army and Air Force Exchange Service Headquarters Departments of the Army, Department of the Air Force Washington,

More information

Reserve Component General Officer Personnel Management

Reserve Component General Officer Personnel Management Army Regulation 135 156 Army National Guard and Army Reserve Reserve Component General Officer Personnel Management Headquarters Department of the Army Washington, DC 17 May 2007 UNCLASSIFIED SUMMARY of

More information

Army Congressional Fellowship Program

Army Congressional Fellowship Program Army Regulation 1 202 Administrative Army Congressional Fellowship Program Headquarters Department of the Army Washington, DC 26 May 2000 UNCLASSIFIED SUMMARY of CHANGE AR 1 202 Army Congressional Fellowship

More information

Selection, Training, Utilization, and Career Guidance for Army Medical Corps Officers as Flight Surgeons

Selection, Training, Utilization, and Career Guidance for Army Medical Corps Officers as Flight Surgeons Army Regulation 616 110 Personnel Utilization Selection, Training, Utilization, and Career Guidance for Army Medical Corps Officers as Flight Surgeons UNCLASSIFIED Headquarters Department of the Army Washington,

More information

Promotion of Commissioned Officers and Warrant Officers Other Than General Officers

Promotion of Commissioned Officers and Warrant Officers Other Than General Officers Army Regulation 135 155 Army National Guard and U.S. Army Reserve Promotion of Commissioned Officers and Warrant Officers Other Than General Officers Headquarters Department of the Army Washington, DC

More information

Entry on Active Duty or Active Duty for Training(ROTC Officers)

Entry on Active Duty or Active Duty for Training(ROTC Officers) Army Regulation 140 9 Army Reserve Entry on Active Duty or Active Duty for Training(ROTC Officers) Headquarters Department of the Army Washington, DC 1 August 1984 UNCLASSIFIED SUMMARY of CHANGE AR 140

More information

Armed Forces Active Duty Health Professions. Loan Repayment Program FOR NEW ACCESSIONS PRIVACY ACT STATEMENT

Armed Forces Active Duty Health Professions. Loan Repayment Program FOR NEW ACCESSIONS PRIVACY ACT STATEMENT Armed Forces Active Duty Health Professions Loan Repayment Program FOR NEW ACCESSIONS PRIVACY ACT STATEMENT 1. Authority: Chapter 109, Title 10, United States Code (U.S.C.) and Executive Order 9397 (SSN)

More information

Selection, Training, Utilization, and Career Guidance for Army Medical Corps Officers as Flight Surgeons

Selection, Training, Utilization, and Career Guidance for Army Medical Corps Officers as Flight Surgeons Army Regulation 616 110 Personnel Utilization Selection, Training, Utilization, and Career Guidance for Army Medical Corps Officers as Flight Surgeons Headquarters Department of the Army Washington, DC

More information

Army General Counsel s Honors Program

Army General Counsel s Honors Program Army Regulation 601 337 Personnel Procurement Army General Counsel s Honors Program Headquarters Department of the Army Washington, DC 1 July 1984 UNCLASSIFIED SUMMARY of CHANGE AR 601 337 Army General

More information

Attendance of Military and Civilian Personnel at Private Organization Meetings

Attendance of Military and Civilian Personnel at Private Organization Meetings Army Regulation 1 211 Administration Attendance of Military and Civilian Personnel at Private Organization Meetings Headquarters Department of the Army Washington, DC 1 December 1983 Unclassified SUMMARY

More information

Selection, Processing, and Training of Officer Volunteers for Explosive Ordnance Disposal Duty

Selection, Processing, and Training of Officer Volunteers for Explosive Ordnance Disposal Duty Army Regulation 611 105 Personnel Selection and Classification Selection, Processing, and Training of Officer Volunteers for Explosive Ordnance Disposal Duty Headquarters Department of the Army Washington,

More information

Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Procedures

Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Procedures Army Regulation 135 91 Army National Guard and Army Reserve Service Obligations, Methods of Fulfillment, Participation Requirements, and Enforcement Procedures Headquarters Department of the Army Washington,

More information

The Active Guard Reserve (AGR) Program

The Active Guard Reserve (AGR) Program Army Regulation 135 18 Army National Guard and Army Reserve The Active Guard Reserve (AGR) Program Headquarters Department of the Army Washington, DC 1 November 2004 UNCLASSIFIED SUMMARY of CHANGE AR 135

More information

Army Reserve Forces Policy Committee

Army Reserve Forces Policy Committee Army Regulation 135 5 Army National Guard and Army Reserve Army Reserve Forces Policy Committee Headquarters Department of the Army Washington, DC 8 December 2014 UNCLASSIFIED SUMMARY of CHANGE AR 135

More information

Department of the Army. Intergovernmental and Intragovernmental Committee Management Program UNCLASSIFIED. Army Regulation 15 39

Department of the Army. Intergovernmental and Intragovernmental Committee Management Program UNCLASSIFIED. Army Regulation 15 39 Army Regulation 15 39 Boards, Commissions, and Committees Department of the Army Intergovernmental and Intragovernmental Committee Management Program Headquarters Department of the Army Washington, DC

More information

AR Security Assistance Teams. 15 June 1998 (Effective 15 July 1998)

AR Security Assistance Teams. 15 June 1998 (Effective 15 July 1998) Security Assistance Teams 15 June 1998 (Effective 15 July 1998) Security Assistance and International Logistics PIN: 038152-000 This revision -- Unclassified Change Summary Incorporates various U.S. law

More information

Selection and Training of Army Aviation Officers

Selection and Training of Army Aviation Officers Army Regulation 611 110 Personnel Selection and Classification Selection and Training of Army Aviation Officers Headquarters Department of the Army Washington, DC 15 June 2005 UNCLASSIFIED SUMMARY of CHANGE

More information

Appointment of Temporary Officers in the Army of the United States Upon Mobilization

Appointment of Temporary Officers in the Army of the United States Upon Mobilization Army Regulation 601 50 Personnel Procurement Appointment of Temporary Officers in the Army of the United States Upon Mobilization Headquarters Department of the Army Washington, DC 4 December 1987 UNCLASSIFIED

More information

Identification of Commissioned and Warrant Officer Personnel by Army Procurement Program Number Codes

Identification of Commissioned and Warrant Officer Personnel by Army Procurement Program Number Codes Department of the Army Pamphlet 601 110 Personnel Procurement Identification of Commissioned and Warrant Officer Personnel by Army Procurement Program Number Codes Headquarters Department of the Army Washington,

More information

Officer Active Duty Service Obligations

Officer Active Duty Service Obligations Army Regulation 350 100 Training Officer Active Duty Service Obligations Rapid Action Revision (RAR) Issue Date: 10 August 2009 Headquarters Department of the Army Washington, DC 8 August 2007 UNCLASSIFIED

More information

Foreign Government Employment

Foreign Government Employment Army Regulation 600 291 Personnel-General Foreign Government Employment UNCLASSIFIED Headquarters Department of the Army Washington, DC 19 December 2016 SUMMARY of CHANGE AR 600 291 Foreign Government

More information

Warrant Officer Procurement Program

Warrant Officer Procurement Program Department of the Army Pamphlet 601 6 Personnel Procurement Warrant Officer Procurement Program Headquarters Department of the Army Washington, DC 14 June 2006 UNCLASSIFIED SUMMARY of CHANGE DA PAM 601

More information

Department of the Army. Federal Advisory Committee Management Program UNCLASSIFIED. Army Regulation Boards, Commissions, and Committees

Department of the Army. Federal Advisory Committee Management Program UNCLASSIFIED. Army Regulation Boards, Commissions, and Committees Army Regulation 15 1 Boards, Commissions, and Committees Department of the Army Federal Advisory Committee Management Program Headquarters Department of the Army Washington, DC 29 May 2015 UNCLASSIFIED

More information

Procedures for Disability Evaluation for Retention, Retirement, or Separation

Procedures for Disability Evaluation for Retention, Retirement, or Separation Department of the Army Pamphlet 635 40 Personnel Separations Procedures for Disability Evaluation for Retention, Retirement, or Separation Headquarters Department of the Army Washington, DC 12 January

More information

The Army Proponent System

The Army Proponent System Army Regulation 5 22 Management The Army Proponent System Headquarters Department of the Army Washington, DC 3 October 1986 UNCLASSIFIED Report Documentation Page Report Date 03 Oct 1986 Report Type N/A

More information

Department of Defense Executive Agent Responsibilities of the Secretary of the Army

Department of Defense Executive Agent Responsibilities of the Secretary of the Army Army Regulation 10 90 Organization and Functions Department of Defense Executive Agent Responsibilities of the Secretary of the Army UNCLASSIFIED Headquarters Department of the Army Washington, DC 9 February

More information

Active Duty for Missions, Projects, and Training for Reserve Component Soldiers

Active Duty for Missions, Projects, and Training for Reserve Component Soldiers Army Regulation 135 200 Army National Guard and Army Reserve Active Duty for Missions, Projects, and Training for Reserve Component Soldiers Headquarters Department of the Army Washington, DC 30 June 1999

More information

SUBJECT: Army Acquisition Noncommissioned Officer Advanced Civil Schooling Selection and Attendance Policy and Procedures

SUBJECT: Army Acquisition Noncommissioned Officer Advanced Civil Schooling Selection and Attendance Policy and Procedures DEPARTMENT OF THE ARMY OFFICE OF THE ASSISTANT SECRETARY OF THE ARMY ACQUISITION LOGISTICS AND TECHNOLOGY 103 ARMY PENTAGON WASHINGTON, DC 20310-0103 SFAE MEMORANDUM FOR SEE DISTRIBUTION 1. References.

More information

Host Nation Support UNCLASSIFIED. Army Regulation Manpower and Equipment Control

Host Nation Support UNCLASSIFIED. Army Regulation Manpower and Equipment Control Army Regulation 570 9 Manpower and Equipment Control Host Nation Support Headquarters Department of the Army Washington, DC 29 March 2006 UNCLASSIFIED SUMMARY of CHANGE AR 570 9 Host Nation Support This

More information

COMPOSITION, MISSION, AND FUNCTIONS OF THE ARMY MEDICAL DEPARTMENT

COMPOSITION, MISSION, AND FUNCTIONS OF THE ARMY MEDICAL DEPARTMENT Army Regulation 40 1 MEDICAL SERVICES COMPOSITION, MISSION, AND FUNCTIONS OF THE ARMY MEDICAL DEPARTMENT Headquarters Department of the Army Washington, DC 1 July 1983 Unclassified SUMMARY of CHANGE AR

More information

Organization and Functions of National Guard Bureau

Organization and Functions of National Guard Bureau Army Regulation 130 5 AFMD 10 Army National Guard Organization and Functions of National Guard Bureau Headquarters Departments of the Army, Department of the Air Force Washington, DC 30 December 2001 UNCLASSIFIED

More information

Ready Reserve Screening, Qualification Records System, and Change of Address Reporting

Ready Reserve Screening, Qualification Records System, and Change of Address Reporting Army Regulation 135 133 Army National Guard and Reserve Ready Reserve Screening, Qualification Records System, and Change of Address Reporting UNCLASSIFIED Headquarters Department of the Army Washington,

More information

Subj: ARMED FORCES HEALTH PROFESSIONS SCHOLARSHIP PROGRAM

Subj: ARMED FORCES HEALTH PROFESSIONS SCHOLARSHIP PROGRAM DEPARTMENT OF THE NAVY OFFICE OF THE CHIEF OF NAVAL OPERATIONS 2000 NAVY PENTAGON WASHINGTON DC 20350-2000 OPNAVINST 1520.39A N1/BUPERS-31B OPNAV INSTRUCTION 1520.39A From: Chief of Naval Operations Subj:

More information

The Army Civilian Police and Security Guard Program

The Army Civilian Police and Security Guard Program Army Regulation 190 56 Military Police The Army Civilian Police and Security Guard Program Headquarters Department of the Army Washington, DC 21 June 1995 Unclassified SUMMARY of CHANGE AR 190 56 The Army

More information

Handbook for the Administration. Guard Reserve Personnel in the Recruiting Command UNCLASSIFIED. USAREC Pamphlet

Handbook for the Administration. Guard Reserve Personnel in the Recruiting Command UNCLASSIFIED. USAREC Pamphlet USAREC Pamphlet 600-14 Personnel General Handbook for the Administration of Active Guard Reserve Personnel in the Recruiting Command Headquarters United States Army Recruiting Command 1307 3rd Avenue Fort

More information

Active Duty for Missions, Projects, and Training for Reserve Component Soldiers

Active Duty for Missions, Projects, and Training for Reserve Component Soldiers Army Regulation 135 200 Army National Guard and Reserve Active Duty for Missions, Projects, and Training for Reserve Component Soldiers UNCLASSIFIED Headquarters Department of the Army Washington, DC 26

More information

INFORMATION PAPER. AHRC-DZB 11 April SUBJECT: Overview of the Army Physical Disability Evaluation System

INFORMATION PAPER. AHRC-DZB 11 April SUBJECT: Overview of the Army Physical Disability Evaluation System INFORMATION PAPER AHRC-DZB 11 April 2007 SUBJECT: Overview of the Army Physical Disability Evaluation System 1. Purpose. To provide an overview of the Army Physical Disability Evaluation System (PDES).

More information

Chemical, Biological, Radiological, and Nuclear Survivability Committee

Chemical, Biological, Radiological, and Nuclear Survivability Committee Army Regulation 15 41 Boards, Commissions, and Committees Chemical, Biological, Radiological, and Nuclear Survivability Committee UNCLASSIFIED Headquarters Department of the Army Washington, DC 8 May 2018

More information

Installation Status Report Program

Installation Status Report Program Army Regulation 210 14 Installations Installation Status Report Program Headquarters Department of the Army Washington, DC 19 July 2012 UNCLASSIFIED SUMMARY of CHANGE AR 210 14 Installation Status Report

More information

The Army Force Modernization Proponent System

The Army Force Modernization Proponent System Army Regulation 5 22 Management The Army Force Modernization Proponent System Rapid Action Revision (RAR) Issue Date: 25 March 2011 Headquarters Department of the Army Washington, DC 6 February 2009 UNCLASSIFIED

More information

SUBJECT: Army Directive (The Army Credentialing Assistance Program)

SUBJECT: Army Directive (The Army Credentialing Assistance Program) S E C R E T A R Y O F T H E A R M Y W A S H I N G T O N MEMORANDUM FOR SEE DISTRIBUTION SUBJECT: Army Directive 2018-08 (The Army Credentialing Assistance Program) 1. References: a. Title 10, United States

More information

DEPARTMENT OF THE ARMY MADIGAN ARMY MEDICAL CENTER 9040 FITZSIMMONS AVENUE JOINT BASE LEWIS-MCCHORD, WA

DEPARTMENT OF THE ARMY MADIGAN ARMY MEDICAL CENTER 9040 FITZSIMMONS AVENUE JOINT BASE LEWIS-MCCHORD, WA DEPARTMENT OF THE ARMY MADIGAN ARMY MEDICAL CENTER 9040 FITZSIMMONS AVENUE JOINT BASE LEWIS-MCCHORD, WA 98431-1100 REPLY TO ATTENTION OF: MCHJ-I DATE MEMORANDUM THRU Commander, (MCHJ-CO), Madigan Army,

More information

ROLE OF THE PHYSICIAN ASSISTANT SECTION CHIEF, CONSULTANT, AND ARMY MEDICAL SPECIALIST CORPS OFFICE

ROLE OF THE PHYSICIAN ASSISTANT SECTION CHIEF, CONSULTANT, AND ARMY MEDICAL SPECIALIST CORPS OFFICE Role of the PA Section Chief, Consultant, and SP Corps Office Chapter 3 ROLE OF THE PHYSICIAN ASSISTANT SECTION CHIEF, CONSULTANT, AND ARMY MEDICAL SPECIALIST CORPS OFFICE Christopher C. Pase, PA-C, MPAS;

More information

Small Arms Competitive Marksmanship Program

Small Arms Competitive Marksmanship Program Army Regulation 350 66 Training Small Arms Competitive Marksmanship Program Headquarters Department of the Army Washington, DC 27 August 2012 UNCLASSIFIED SUMMARY of CHANGE AR 350 66 Small Arms Competitive

More information

Department of Defense INSTRUCTION

Department of Defense INSTRUCTION Department of Defense INSTRUCTION NUMBER 1205.21 September 20, 1999 USD(P&R) SUBJECT: Reserve Component Incentive Programs Procedures References: (a) DoD Directive 1205.21, "Reserve Component Incentive

More information

Judge Advocate Legal Services

Judge Advocate Legal Services Army Regulation 27 1 Legal Services Judge Advocate Legal Services Headquarters Department of the Army Washington, DC 30 September 1996 UNCLASSIFIED Headquarters Department of the Army Washington, DC 30

More information

Leaves and Passes UNCLASSIFIED. Rapid Action Revision (RAR) Issue Date: 4 August Army Regulation Personnel General

Leaves and Passes UNCLASSIFIED. Rapid Action Revision (RAR) Issue Date: 4 August Army Regulation Personnel General Army Regulation 600 8 10 Personnel General Leaves and Passes Rapid Action Revision (RAR) Issue Date: 4 August 2011 Headquarters Department of the Army Washington, DC 15 February 2006 UNCLASSIFIED SUMMARY

More information

Army Regulation Management. RAND Arroyo Center. Headquarters Department of the Army Washington, DC 25 May 2012 UNCLASSIFIED

Army Regulation Management. RAND Arroyo Center. Headquarters Department of the Army Washington, DC 25 May 2012 UNCLASSIFIED Army Regulation 5 21 Management RAND Arroyo Center Headquarters Department of the Army Washington, DC 25 May 2012 UNCLASSIFIED SUMMARY of CHANGE AR 5 21 RAND Arroyo Center This major revision, dated 25

More information

Evaluation Reporting System

Evaluation Reporting System Department of the Army Pamphlet 623 3 Personnel Evaluation Evaluation Reporting System Headquarters Department of the Army Washington, DC 10 November 2015 UNCLASSIFIED SUMMARY of CHANGE DA PAM 623 3 Evaluation

More information

Milper Message Number Proponent RCHS-MS. Title FY 2016 WARRANT OFFICER APPLICATIONS FOR HEALTH SERVICES MAINTENANCE TECHNICIAN (670A)

Milper Message Number Proponent RCHS-MS. Title FY 2016 WARRANT OFFICER APPLICATIONS FOR HEALTH SERVICES MAINTENANCE TECHNICIAN (670A) Milper Message Number 15-107 Proponent RCHS-MS Title FY 2016 WARRANT OFFICER APPLICATIONS FOR HEALTH SERVICES MAINTENANCE TECHNICIAN (670A)...Issued: [08 Apr 15]... A. AR 135-100, APPOINTMENT OF COMMISSIONED

More information

Title (FY) 2011 UPDATE TO AR

Title (FY) 2011 UPDATE TO AR Click the to print preview this document. Milper Message Number 10-229 Proponent RCHS-SVD-PA Title (FY) 2011 UPDATE TO AR 601-20...Issued: [02 Sep 10]... 1. Introduction A. Purpose: This message is the

More information

Department of the Army TRADOC Regulation Headquarters, United States Army Training and Doctrine Command Fort Monroe, Virginia

Department of the Army TRADOC Regulation Headquarters, United States Army Training and Doctrine Command Fort Monroe, Virginia Department of the Army TRADOC Regulation 870-1 Headquarters, United States Army Training and Doctrine Command Fort Monroe, Virginia 23651-1047 05 March 2010 Historical Activities United States Army Training

More information

ROLE OF THE HUMAN RESOURCES COMMAND ASSIGNMENT OFFICER

ROLE OF THE HUMAN RESOURCES COMMAND ASSIGNMENT OFFICER Role of the Human Resources Command Assignment Officer Chapter 22 ROLE OF THE HUMAN RESOURCES COMMAND ASSIGNMENT OFFICER Amy Jackson, PA-C, MPAS Introduction The physician assistant (PA) assigned to Human

More information

U.S. Army Reserve Reenlistment Program

U.S. Army Reserve Reenlistment Program Army Regulation 140 111 Army Reserve U.S. Army Reserve Reenlistment Program Headquarters Department of the Army Washington, DC 9 May 2007 UNCLASSIFIED SUMMARY of CHANGE AR 140 111 U.S. Army Reserve Reenlistment

More information

Army Policy for the Assignment of Female Soldiers

Army Policy for the Assignment of Female Soldiers Army Regulation 600 13 Personnel General Army Policy for the Assignment of Female Soldiers Headquarters Department of the Army Washington, DC 27 March 1992 Unclassified SUMMARY of CHANGE AR 600 13 Army

More information

Army Equipment Safety and Maintenance Notification System

Army Equipment Safety and Maintenance Notification System Army Regulation 750 6 Maintenance of Supplies and Equipment Army Equipment Safety and Maintenance Notification System UNCLASSIFIED Headquarters Department of the Army Washington, DC 12 January 2018 SUMMARY

More information

Homeowners Assistance Program

Homeowners Assistance Program Army Regulation 405 16 Real Estate Homeowners Assistance Program Headquarters Department of the Army Washington, DC 29 September 2016 UNCLASSIFIED SUMMARY of CHANGE AR 405 16 Homeowners Assistance Program

More information

DEPARTMENT OF THE ARMY OFFICE OF THE ASSISTANT SECRETARY OF THE ARMY ACQUISITION, LOGISTICS, AND TECHNOLOGY 103 PENTAGON WASHINGTON, DC

DEPARTMENT OF THE ARMY OFFICE OF THE ASSISTANT SECRETARY OF THE ARMY ACQUISITION, LOGISTICS, AND TECHNOLOGY 103 PENTAGON WASHINGTON, DC DEPARTMENT OF THE ARMY OFFICE OF THE ASSISTANT SECRETARY OF THE ARMY ACQUISITION, LOGISTICS, AND TECHNOLOGY 103 PENTAGON WASHINGTON, DC 20310-0103 JUL 0 5 2016 SFAE MEMORANDUM FOR SEE DISTRIBUTION 1. References.

More information

Enlisted Personnel Management

Enlisted Personnel Management Army Regulation 135 205 Army National Guard and Army Reserve Enlisted Personnel Management Headquarters Department of the Army Washington, DC 11 March 2008 UNCLASSIFIED SUMMARY of CHANGE AR 135 205 Enlisted

More information

Army Regulation Field Organizations. Duty Rosters UNCLASSIFIED

Army Regulation Field Organizations. Duty Rosters UNCLASSIFIED Army Regulation 220 45 Field Organizations Duty Rosters UNCLASSIFIED Headquarters Department of the Army Washington, DC 28 November 2017 SUMMARY of CHANGE AR 220 45 Duty Rosters This regulation is certified

More information

Army Regulation Field Organizations. Duty Rosters. Headquarters Department of the Army Washington, DC 27 November 2012 UNCLASSIFIED

Army Regulation Field Organizations. Duty Rosters. Headquarters Department of the Army Washington, DC 27 November 2012 UNCLASSIFIED Army Regulation 220 45 Field Organizations Duty Rosters Headquarters Department of the Army Washington, DC 27 November 2012 UNCLASSIFIED SUMMARY of CHANGE AR 220 45 Duty Rosters This major revision, dated

More information

1. THIS MESSAGE WILL EXPIRE ON 10 JANUARY 2014.

1. THIS MESSAGE WILL EXPIRE ON 10 JANUARY 2014. Milper Message Number 13-227 Proponent AHRC-OPL-C Title FY 2016 ARMY CONGRESSIONAL FELLOWSHIP PROGRAM...Issued: [14 Aug 13]... 1. THIS MESSAGE WILL EXPIRE ON 10 JANUARY 2014. 2. PROGRAM DESCRIPTION: THE

More information

Department of the Army *TRADOC Regulation Headquarters, United States Army Training and Doctrine Command Fort Eustis, Virginia

Department of the Army *TRADOC Regulation Headquarters, United States Army Training and Doctrine Command Fort Eustis, Virginia Department of the Army *TRADOC Regulation 672-7 Headquarters, United States Army Training and Doctrine Command Fort Eustis, Virginia 23604-5700 16 September 2016 Decorations, Awards, and Honors BRIGADIER

More information

Enlisted Administrative Separations

Enlisted Administrative Separations Army Regulation 135 178 Army National Guard and Reserve Enlisted Administrative Separations UNCLASSIFIED Headquarters Department of the Army Washington, DC 7 November 2017 SUMMARY of CHANGE AR 135 178

More information

MILPER Message Number Proponent RCHS-AN

MILPER Message Number Proponent RCHS-AN MILPER Message Number 18-003 Proponent RCHS-AN Title Fiscal Year (FY) 2019 AMEDD Enlisted Commissioning Program Applications for Active Duty, Reserve and National Guard...Issued:[1/4/2018 10:05:35 AM]...

More information

Real Property Category Codes

Real Property Category Codes Army Regulation 415 28 Construction Real Property Category Codes Headquarters Department of the Army Washington, DC 15 April 2014 UNCLASSIFIED SUMMARY of CHANGE AR 415 28 Real Property Category Codes This

More information

Officer Assignment Policies, Details, and Transfers

Officer Assignment Policies, Details, and Transfers Army Regulation 614 100 Assignments, Details, and Transfers Officer Assignment Policies, Details, and Transfers Headquarters Department of the Army Washington, DC 10 January 2006 UNCLASSIFIED SUMMARY of

More information

Command Logistics Review Program

Command Logistics Review Program Army Regulation 11 1 Army Programs Command Logistics Review Program Headquarters Department of the Army Washington, DC 27 November 2012 UNCLASSIFIED SUMMARY of CHANGE AR 11 1 Command Logistics Review Program

More information

Army Military Personnel Exchange Program with Military Services of Other Nations

Army Military Personnel Exchange Program with Military Services of Other Nations Army Regulation 614 10 Assignments, Details, and Transfers Army Military Personnel Exchange Program with Military Services of Other Nations Headquarters Department of the Army Washington, DC 14 July 2011

More information

Quality Assurance Specialist (Ammunition Surveillance)

Quality Assurance Specialist (Ammunition Surveillance) Army Regulation 702 12 Product Assurance Quality Assurance Specialist (Ammunition Surveillance) Headquarters Department of the Army Washington, DC 20 March 2002 UNCLASSIFIED Report Documentation Page Report

More information

U.S. Army Reserve Reenlistment Program

U.S. Army Reserve Reenlistment Program Army Regulation 140 111 Army Reserve U.S. Army Reserve Reenlistment Program Rapid Action Revision (RAR) Issue Date: 6 September 2011 Headquarters Department of the Army Washington, DC 9 May 2007 UNCLASSIFIED

More information

Individual Mobilization Augmentation Program

Individual Mobilization Augmentation Program Army Regulation 140 145 Army Reserve Individual Mobilization Augmentation Program Headquarters Department of the Army Washington, DC 21 March 2016 UNCLASSIFIED SUMMARY of CHANGE AR 140 145 Individual Mobilization

More information

Department of the Army *TRADOC Regulation Headquarters, United States Army Training and Doctrine Command Fort Monroe, Virginia

Department of the Army *TRADOC Regulation Headquarters, United States Army Training and Doctrine Command Fort Monroe, Virginia Department of the Army *TRADOC Regulation 690-4 Headquarters, United States Army Training and Doctrine Command Fort Monroe, Virginia 23651-1047 17 May 2011 Civilian Personnel RECRUITMENT AND SELECTION

More information

Aviation Support Activity Accident Prevention Survey Program

Aviation Support Activity Accident Prevention Survey Program National Guard Regulation 385-5 Safety Aviation Support Activity Accident Prevention Survey Program Departments of the Army and the Air Force National Guard Bureau Arlington, VA 22202-3231 4 January 2008

More information

CW5 Rex Williams Award for Excellence in Military Intelligence Standard Operating Procedure (SOP)

CW5 Rex Williams Award for Excellence in Military Intelligence Standard Operating Procedure (SOP) CW5 Rex Williams Award for Excellence in Military Intelligence Standard Operating Procedure (SOP) 1. Purpose. This Standard Operating Procedure (SOP) prescribes the requirements and timelines for administering

More information

U.S. Army Reserve Reenlistment Program

U.S. Army Reserve Reenlistment Program Army Regulation 140 111 Army Reserve U.S. Army Reserve Reenlistment Program UNCLASSIFIED Headquarters Department of the Army Washington, DC 2 March 2018 SUMMARY of CHANGE AR 140 111 U.S. Army Reserve Reenlistment

More information

Separation Processing and Documents

Separation Processing and Documents Army Regulation 635 8 Personnel Separations Separation Processing and Documents Headquarters Department of the Army Washington, DC 10 February 2014 UNCLASSIFIED SUMMARY AR 635 8 Separation Processing and

More information

Instructions for Implementing Army Community Service Accreditation Program

Instructions for Implementing Army Community Service Accreditation Program Department of the Army Pamphlet 608 17 Personal Affairs Instructions for Implementing Army Community Service Accreditation Program Headquarters Department of the Army Washington, DC 15 January 2008 UNCLASSIFIED

More information

Joint Security Cooperation Education and Training

Joint Security Cooperation Education and Training Army Regulation 12 15 SECNAVINST 4950.4B AFI 16 105 Security Assistance and International Logistics Joint Security Cooperation Education and Training Headquarters Departments of the Army, the Navy, and

More information

Award of the Legion of Merit and Lesser Awards for Service, Achievement, or Retirement During Peacetime

Award of the Legion of Merit and Lesser Awards for Service, Achievement, or Retirement During Peacetime *DA Memo 600 8 22 Headquarters Department of the Army Washington, DC 29 June 2015 Personnel General Award of the Legion of Merit and Lesser Awards for Service, Achievement, or Retirement During Peacetime

More information

Army Regulation Sea Duty UNCLASSIFIED

Army Regulation Sea Duty UNCLASSIFIED Army Regulation 600 88 Sea Duty UNCLASSIFIED Headquarters Department of the Army Washington, DC 19 January 2017 SUMMARY of CHANGE AR 600 88 Sea Duty This major revision, dated 19 January 2017-- o o Updates

More information

DOD INSTRUCTION GENERAL BONUS AUTHORITY FOR OFFICERS

DOD INSTRUCTION GENERAL BONUS AUTHORITY FOR OFFICERS DOD INSTRUCTION 1304.34 GENERAL BONUS AUTHORITY FOR OFFICERS Originating Component: Office of the Under Secretary of Defense for Personnel and Readiness Effective: July 11, 2016 Releasability: Cleared

More information

Officer Transfers and Discharges

Officer Transfers and Discharges Army Regulation 600 8 24 Personnel General Officer Transfers and Discharges Rapid Action Revision (RAR) Issue Date: 13 September 2011 Headquarters Department of the Army Washington, DC 12 April 2006 UNCLASSIFIED

More information

Separation of Officers

Separation of Officers Army Regulation 135 175 Army National Guard and Reserve Separation of Officers UNCLASSIFIED Headquarters Department of the Army Washington, DC 29 November 2017 SUMMARY of CHANGE AR 135 175 Separation of

More information

COMPLIANCE WITH THIS PUBLICATION IS MANDATORY

COMPLIANCE WITH THIS PUBLICATION IS MANDATORY Template modified: 27 May 1997 14:30 BY ORDER OF THE SECRETARY OF THE AIR FORCE AIR FORCE INSTRUCTION 10-302 1 October 1995 Operations AIR FORCE READY RESERVE STIPEND PROGRAM (PA) COMPLIANCE WITH THIS

More information

MILPER Message Number Proponent RCHS-SVD. Title

MILPER Message Number Proponent RCHS-SVD. Title Page 1 of 7 MILPER Message Number 18-076 Proponent RCHS-SVD Title Fiscal Year (FY) 2019 Warrant Officer Applications for Active Duty and Reserve Veterinary Corps (VC) Food Safety Officer (MOS 640A)...Issued:[2/28/2018

More information

Army Publishing Program

Army Publishing Program Army Regulation 25 30 Information Management: Publishing and Printing Army Publishing Program UNCLASSIFIED Headquarters Department of the Army Washington, DC 13 June 2018 SUMMARY of CHANGE AR 25 30 Army

More information

SECRETARY OF THE NAVY SECRETARY OF THE AIR FORCE

SECRETARY OF THE NAVY SECRETARY OF THE AIR FORCE 9 Dec 1997 MEMORANDUM FOR: SECRETARY OF THE ARMY SECRETARY OF THE NAVY SECRETARY OF THE AIR FORCE SUBJECT: Alternatives to Active Duty Obligations for Participants of the Armed Forces Health Professions

More information

Department of Defense INSTRUCTION. SUBJECT: Reserve Component Member Participation Requirements

Department of Defense INSTRUCTION. SUBJECT: Reserve Component Member Participation Requirements Department of Defense INSTRUCTION NUMBER 1215.18 July 17, 2002 ASD(RA) SUBJECT: Reserve Component Member Participation Requirements References: (a) DoD Instruction 1215.18, "Reserve Component Member Participation

More information

DEPARTMENT OF THE ARMY *III CORPS & FH REG HEADQURTERS III CORPS AND FORT HOOD FORT HOOD, TEXAS MAY 2002

DEPARTMENT OF THE ARMY *III CORPS & FH REG HEADQURTERS III CORPS AND FORT HOOD FORT HOOD, TEXAS MAY 2002 DEPARTMENT OF THE ARMY *III CORPS & FH REG 614-100 HEADQURTERS III CORPS AND FORT HOOD FORT HOOD, TEXAS 76544-5056 15 MAY 2002 Assignments, Details, and Transfers Officer Assignment and Management History.

More information

The U.S. Army Regimental System

The U.S. Army Regimental System Army Regulation 870 21 Historical Activities The U.S. Army Regimental System Headquarters Department of the Army Washington, DC 13 April 2017 UNCLASSIFIED SUMMARY AR 870 21 The U.S. Army Regimental System

More information

Report No. D July 25, Guam Medical Plans Do Not Ensure Active Duty Family Members Will Have Adequate Access To Dental Care

Report No. D July 25, Guam Medical Plans Do Not Ensure Active Duty Family Members Will Have Adequate Access To Dental Care Report No. D-2011-092 July 25, 2011 Guam Medical Plans Do Not Ensure Active Duty Family Members Will Have Adequate Access To Dental Care Report Documentation Page Form Approved OMB No. 0704-0188 Public

More information

MILPER Message Number Proponent RCHS-MS

MILPER Message Number Proponent RCHS-MS MILPER Message Number 16-133 Proponent RCHS-MS Title FY 2017 Warrant Officer Applications for Active Duty and Reserve Health Services Maintenance Technician (MOS 670A)...Issued: [13 May 16]... A. AR 135-100,

More information